A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

Have another nurse witness the disposal of the extra medication.

Discard the extra medication in a sharps container.

Save the extra medication for a later dosing.

Send the waste amount to the pharmacy.

Answer and Explanation

The Correct Answer is A

A.   In many institutions, when a nurse administers a controlled substance and has leftover medication, it is standard practice to have another nurse witness the disposal of the excess. This is a safeguard against misuse and ensures accountability.
B.   While a sharps container is appropriate for disposing of needles and other sharp objects, it is not suitable for liquid medications. Discarding liquid medications in a sharps container could lead to contamination and is not compliant with disposal protocols.
C.   Medications, especially controlled substances, should never be saved for later use once they have been drawn up or prepared. This practice poses a significant risk for medication errors and misuse.
D.   Generally, the waste amount is not sent to the pharmacy. Instead, it should be wasted according to the facility's policy, typically in the presence of another nurse. Sending it to the pharmacy is unnecessary and could create logistical complications.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Pain is one of the hallmark symptoms of sickle cell anemia, particularly during a sickle cell crisis. The sickling of red blood cells can obstruct blood flow, leading to ischemia and severe pain in various parts of the body, including the chest, abdomen, and joints.
B. Clients with sickle cell anemia often experience anxiety, especially during pain crises or hospitalizations. The uncertainty surrounding pain episodes, potential complications, and the chronic nature of the disease can contribute to feelings of anxiety.
C. Many individuals with sickle cell anemia may experience sleeplessness due to pain, discomfort, or anxiety related to their condition. Pain episodes can disrupt sleep patterns, leading to fatigue and further complicating their overall health.
D. Difficulty speaking is not a typical manifestation of sickle cell anemia. While severe complications, such as stroke, can occur in individuals with sickle cell disease and may lead to speech difficulties, this is not a direct manifestation of the condition itself.
E. Depression is common among individuals with chronic illnesses, including sickle cell anemia. The ongoing challenges of managing pain, frequent medical visits, and the impact of the disease on daily life can contribute to feelings of depression.

A. Ensuring the client has given informed consent for care B. Influencing the client to make health care decisions based on the nurse's previous experiences C. Discussing the client's medical treatment with a friend of the family to help make decisions D. Recommending surgical and treatment options for care

Correct Answer is A

Explanation

A. This action exemplifies nursing advocacy. Ensuring that a client has given informed consent means that the nurse is making sure the patient understands their treatment options, the risks involved, and the potential benefits.
B. While sharing experiences can be helpful, influencing a client’s decision based on the nurse's own experiences can compromise the client’s autonomy. Advocacy means supporting the patient in making their own informed choices rather than directing them toward a specific decision.
C. Discussing a client’s medical treatment with someone who is not part of the healthcare team or not authorized to receive that information violates patient confidentiality and privacy rights. Advocacy includes respecting the client’s right to privacy and not disclosing information without consent.
D. While nurses can provide education and information about treatment options, recommending specific surgical or treatment options is generally outside the scope of nursing practice. Advocacy involves helping clients understand their options and supporting them in their decisions, not directing them toward specific interventions.

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A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?

Correct Answer is A

Explanation

In which situation would the nurse be justified in overriding a client's right to confidentiality?

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