A nurse withdraws morphine 2 mg from a 4-mg/mL vial to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?
Return the excess medication to the secure cabinet.
Save the excess medication for the next administration.
Place the excess medication in the sharps container.
Have a second nurse witness the disposal of the excess medication.
The Correct Answer is D
A. Returning the excess medication to the secure cabinet is not appropriate as it can lead to contamination and safety issues.
B. Saving the excess medication for the next administration is not safe practice due to potential contamination.
C. Placing the excess medication in the sharps container is not the correct procedure for disposing of controlled substances.
D. Having a second nurse witness the disposal of the excess medication ensures proper documentation and accountability for controlled substances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A PT of 45 seconds is prolonged and indicates a potential risk of bleeding due to excessive anticoagulation with warfarin. The nurse should notify the provider for further evaluation and adjustment of the warfarin dosage.
B. Platelets within the normal range (150,000-400,000/mm3) are adequate and do not require immediate provider notification.
C. Hematocrit of 44% is within the normal range for adults and does not indicate an urgent need for provider notification.
D. Hemoglobin of 16 g/dL is within the normal range for adults and does not require immediate provider notification.
Correct Answer is ["200"]
Explanation
To calculate the infusion rate in mL/hr for administering clindamycin 900 mg in 100 mL dextrose 5% over 30 minutes, you would use the formula: (Total Volume in mL / Time in hours) = Rate in mL/hr. Since the medication needs to be administered over 30 minutes, you convert 30 minutes into hours, which is 0.5 hours. Using the formula, you get (100 mL / 0.5 hours) = 200 mL/hr. Therefore, the nurse should set the IV pump to deliver 200 mL/hr.
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