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","D"]

Explanation

A. Ulcerative colitis can lead to iron deficiency anemia due to chronic inflammation, intestinal bleeding, and malabsorption of nutrients. The disease often affects the colon, which can result in blood loss and inadequate iron absorption.
B. A diet high in prepackaged and processed foods is often low in essential nutrients, including iron. These foods may lack whole grains, fruits, vegetables, and other sources of dietary iron, increasing the risk of iron deficiency anemia.
C. Treatment for gastrointestinal cancer, such as surgery or chemotherapy, can lead to changes in absorption and increased risk of bleeding. This history can significantly elevate the risk for developing iron deficiency anemia due to potential blood loss and malabsorption issues.
D. Gastric bypass surgery can lead to iron deficiency anemia due to reduced stomach size and changes in the gastrointestinal tract that impair nutrient absorption. Patients often need to supplement their diet with iron and other vitamins after surgery.
E. Eating red meat daily is generally associated with an adequate intake of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources. While it's important to consider overall dietary patterns, this particular factor does not typically pose a risk for iron deficiency anemia.

A. Providing oral care every 3 to 4 hours. B. Help the client change position every 2 hours. C. Administering 0.45% saline by IV line. D. Record urine output when client voids. E. Monitoring for indications of dehydration. F. Assessing daily weights for trends.

Correct Answer is ["A","B","D"]

Explanation

A. This task is appropriate for UAP, as it involves basic hygiene care. UAP can assist with routine oral care
B. Assisting with repositioning is a basic care activity that UAP can perform. This helps prevent pressure ulcers and maintains client comfort, and it does not require advanced clinical skills.
C. Administering IV fluids or medications requires specialized training and knowledge of nursing assessments, potential complications, and monitoring. This task should only be performed by a licensed nurse, not by UAP.
D. UAP can document basic measurements such as urine output. This is a straightforward task that does not require clinical judgment, but the UAP should understand how to accurately measure and record this information.
E. While UAP can observe and report general changes, monitoring for clinical indications of dehydration requires nursing assessment skills and judgment. This task should be performed by an RN, as it involves interpreting signs and symptoms.
F. UAP can weigh clients, but the assessment of weight trends requires clinical judgment and interpretation of data. The RN should evaluate and interpret this information to determine its significance in the client's care.

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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

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