A nurse is reviewing a medication prescription that reads, "Morphine 5 mg IV bolus for pain". Which of the following components should the nurse clarify with the provider?

Dose

Time

Medication

Route

Answer and Explanation

The Correct Answer is B

A. The dose is specified in the prescription as 5mg.

B. The prescription does not specify how frequently or at what intervals the morphine should be administered.
C. The medication is clearly stated as morphine.

D. The route of administration is specified as intravenous.

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Correct Answer is D

Explanation

A. Sterile gloves, not clean gloves, should be worn when cleaning the inner cannula to prevent infection.

B. The skin around the stoma should be cleaned with a sterile saline solution, not full-strength hydrogen peroxide, which can irritate the skin and impair healing.

C. A precut tracheostomy dressing should be used under the tracheostomy flanges. Cutting a regular gauze pad can result in loose fibers that could enter the tracheostomy and pose a choking or infection risk.

D. Securing the tracheostomy with a collar that has hook-and-loop fasteners is appropriate because it helps hold the tracheostomy tube in place and reduces the risk of dislodgement. This is a common and safe method for tracheostomy tube stabilization.

A. "Why did you stop taking your medication?" B. "Have you thought about harming yourself?" C. "Tell me more about your partner." D. "You should discuss these feelings with your provider."

Correct Answer is B

Explanation

A. Asking about medication cessation is important but not as immediate as addressing the client's current state of mind.
B. This response directly addresses the client's statement of suicidal ideation and opens up a dialogue about their safety.
C. While discussing the partner may be relevant, it doesn't address the immediate safety concern.
D. Referring to the provider can be done later but ensuring immediate safety is the priority.

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A nurse is reviewing a medication prescription that reads, "Morphine 5 mg IV bolus for pain". Which of the following components should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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