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A nurse is teaching a newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?

Return the medications to the pharmacy.

Place the medications back in the medication cart.

Flush the medications down the toilet.

Notify the provider about the expired medications.

Answer and Explanation

The Correct Answer is A

A. Expired medications should be returned to the pharmacy for proper disposal or replacement.

B. Expired medications should not be placed back in the medication cart, as they may not be safe for administration.

C. Flushing medications down the toilet is not recommended, as it can affect the environment.

D. Notifying the provider is unnecessary unless the expired medications are essential for the client's treatment.

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Correct Answer is D

Explanation

A. Monitoring weight weekly is important for tracking nutritional status but does not directly prevent adverse effects of TPN.

B. Performing blood glucose monitoring hourly is excessive unless the client has a significant issue with blood glucose control.

C. Changing the IV dressing every 96 hours is too long; the dressing should be changed every 48–72 hours to prevent infection.

D. Changing the IV tubing every 24 hours is correct to reduce the risk of infection and contamination in TPN administration.

A. Respiratory rate B. Temperature C. Oxygen saturation D. Heart rate

Correct Answer is D

Explanation

A. Respiratory rate is not the primary vital sign to assess before administering metoprolol.

B. Temperature is not directly affected by metoprolol and should not be assessed solely for this purpose.

C. Oxygen saturation is not a vital sign directly impacted by metoprolol.

D. Heart rate should be assessed before metoprolol, a beta-blocker, because it can lower heart rate. If the heart rate is below the target range, the medication should be withheld.

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A nurse is teaching a newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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