A nurse is preparing to administer an opioid medication to a client who is experiencing pain. Which of the following actions should the nurse take?

Dispose of the wasted portion of the opioid medication in the sharps box.

Count the total amount of opioid medication remaining after removing the needed amount.

Ask a second nurse to witness the discarding of unused opioid medication.

Report opioid medication count discrepancies to the provider.

Answer and Explanation

The Correct Answer is C

A. Dispose of the wasted portion of the opioid medication in the sharps box: Opioid medications should never be discarded in the sharps box because it does not ensure proper tracking or accountability. Controlled substances require a witnessed disposal process.

B. Count the total amount of opioid medication remaining after removing the needed amount: While tracking inventory is important, this step alone does not ensure compliance with controlled substance regulations or safe disposal practices.

C. Ask a second nurse to witness the discarding of unused opioid medication: Having a second nurse witness the disposal of any unused portion ensures accountability, prevents diversion, and complies with legal and institutional controlled substance policies.

D. Report opioid medication count discrepancies to the provider: Discrepancies should be reported to the charge nurse or pharmacy according to policy, not directly to the provider. Reporting is part of accountability but not the immediate action during administration and disposal.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Apply foot cream between the toes: Moisturizing between the toes can create a warm, moist environment that promotes fungal or bacterial infections. Foot cream should be applied to the tops and bottoms of the feet, avoiding spaces between the toes.

B. Use a pumice stone to soften calluses: Using a pumice stone can cause skin breaks or ulcers in clients with peripheral neuropathy due to reduced sensation. Callus management should be performed by a healthcare professional to prevent injury.

C. Inspect the feet daily using a mirror: Daily inspection helps identify cuts, blisters, or infections early, especially since clients with peripheral neuropathy may not feel injuries due to decreased sensation. Using a mirror allows visualization of hard-to-see areas such as the soles.

D. Round the toenail edges when clipping: Toenails should be trimmed straight across to prevent ingrown nails and reduce the risk of infection. Rounding the edges can increase the likelihood of nail problems in clients with neuropathy.

A. COPD B. Atelectasis C. Pneumothorax D. Pulmonary oedema

Correct Answer is A

Explanation

The pressure–volume loop shows a "beaking" pattern (upper inflection point, where the loop flattens and bends back). This indicates overdistention of the alveoli from excessive tidal volume or high inspiratory pressure. The flow–volume loop shows a scooped-out appearance during expiration, which is typical of airflow obstruction such as COPD or asthma. These loops are most consistent with obstructive lung disease with overdistention such as in COPD.

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A nurse is preparing to administer an opioid medication to a client who is experiencing pain. Which of the following actions should the nurse take?

Nursing Test Bank

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