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.
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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Related Questions
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.
Correct Answer is A
Explanation
A. This side effect, known as myelosuppression, is a significant concern and can manifest as anemia.
B. Hydroxyurea is actually prescribed to reduce the frequency of vasoocclusive crises by increasing fetal hemoglobin levels, which helps to prevent sickling of red blood cells. While a patient might experience pain crises while on hydroxyurea, the medication is intended to help manage this issue rather than be a reason for discontinuation.
C. While gastrointestinal upset is also a possible side effect, the risk of severe blood-related complications typically takes precedence when considering the discontinuation of hydroxyurea
D. While allergic reactions like itching or hives can occur with many medications, they are less common with hydroxyurea specifically.
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