A nurse is preparing to administer morphine to a client. Which of the following actions should the nurse plan to take?
Request that an assistive personnel obtain the medication.
Verify the dosage of the medication with the provider.
Record the client's temperature before administering the medication.
Document obtaining the medication from the locked location.
The Correct Answer is D
A. Request that an assistive personnel obtain the medication: Controlled substances like morphine must be handled and administered by a licensed nurse. Delegating this task to assistive personnel violates safe medication administration regulations.
B. Verify the dosage of the medication with the provider: The dosage is typically verified against the provider’s order and the medication administration record rather than contacting the provider each time, unless there is a discrepancy or unusual dose.
C. Record the client's temperature before administering the medication: Morphine administration does not require a temperature check. Assessment should focus on pain level, respiratory rate, blood pressure, and level of consciousness to ensure safe administration.
D. Document obtaining the medication from the locked location: Controlled substances must be securely stored, and accurate documentation of removal from the locked medication location is essential for accountability, legal compliance, and prevention of diversion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nitroglycerin: Nitroglycerin is a vasodilator used to treat angina and does not have known interactions with vancomycin. Concurrent use does not increase the risk of vancomycin toxicity or adverse effects.
B. Furosemide: Furosemide is a loop diuretic that can be nephrotoxic and ototoxic, similar to vancomycin. Using both medications concurrently increases the risk of kidney damage and hearing loss, requiring careful monitoring of renal function and auditory status.
C. Calcium chloride: Calcium chloride is used for hypocalcemia and cardiac stabilization but does not interact directly with vancomycin. No enhanced toxicity or adverse reaction is expected when these drugs are administered together.
D. Morphine: Morphine is an opioid analgesic with no direct interaction with vancomycin. While both drugs may depress the central nervous system in different ways, morphine does not increase the risk of vancomycin-related nephrotoxicity or ototoxicity.
Correct Answer is ["A","C"]
Explanation
A. "Drink the elixir using a straw to prevent staining your teeth.": Using a straw helps prevent the liquid iron from coming into direct contact with the teeth, reducing the risk of permanent staining, which is a common side effect of ferrous sulfate elixir.
B. "Take the medication with an antacid if it upsets your stomach.": Antacids decrease the absorption of iron. To optimize effectiveness, ferrous sulfate should be taken on an empty stomach or with vitamin C–rich foods, rather than with antacids.
C. "Increase your fiber intake to prevent constipation.": Iron supplements commonly cause constipation. Increasing dietary fiber, fluids, and physical activity can help manage this adverse effect and maintain regular bowel function.
D. "Stop taking the medication if your stools become green or black.": Dark stools are a common, harmless side effect of iron supplementation. Clients should be reassured rather than stopping the medication.
E. "Increase your intake of dairy products to increase the absorption of this medication.": Dairy products contain calcium, which inhibits iron absorption. Iron should be taken separately from calcium-rich foods or supplements to maximize absorption.
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