A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A) Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side:
While wearing gloves can be part of the technique, breaking the ampule to the right side is not standard practice. It is more important to use a sterile gauze pad and break the ampule carefully to avoid glass shards falling into the medication.

B) Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body:
Tapping the bottom of the ampule is not the recommended practice; the top of the ampule should be tapped instead. Additionally, breaking the ampule away from the body is good practice, but it’s crucial to break the top of the ampule, not the bottom.

C) Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body:
This is the correct technique. Tapping the top of the ampule helps to ensure that all the liquid is at the bottom, and placing a sterile gauze pad around the neck protects against glass shards. Breaking the top away from the body reduces the risk of injury and contamination.

D) Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion:
Breaking the ampule downward is not recommended because it can increase the risk of glass shards falling into the medication or causing injury. Proper technique involves breaking the ampule away from the body to ensure safety and avoid contamination.

A) Explain the purpose for the medications:
While explaining the purpose of the medications is important, it is crucial first to understand the reason behind the client's refusal. This can help tailor the explanation to address specific concerns or misconceptions.

B) Ask the client why he is refusing to take the medications:
Asking the client about their reasons for refusing the medications is a critical first step. This approach allows the nurse to address any concerns, educate the client, and potentially find alternative solutions or treatments that the client may be more willing to accept.

C) Tell the client the physician wants him to take the medications:
Simply telling the client that the physician wants them to take the medications does not address the underlying reasons for the refusal. It is important to engage with the client to understand their perspective and address any concerns they might have.

D) Document that the client refuses the medications:
Documentation of the refusal is necessary for legal and medical records, but it should not be the initial action. Understanding the client’s reasons for refusal and attempting to address those reasons should be prioritized before documenting the refusal.