If there is a change in color, consistency, or odor of a drug, the nurse should know that:
This frequently occurs in some drugs and is not significant
The drug must not be given and should be returned to the pharmacy in exchange for a fresh supply
Only the pharmacist is responsible for the medications kept in the patient’s drug drawer and he/she must be the one to remove it
The drug may be given, but changes in appearance should be reported to the pharmacy
The Correct Answer is B
Choice A reason: Changes signal potential instability, not normal variation; returning is safer. This errors, per nursing pharmacology. It’s universally distinct, risking potency loss in administration.
Choice B reason: Altered color, consistency, or odor suggests degradation; returning ensures safety. This aligns with nursing standards. It’s universally applied, distinctly protecting patients from ineffective drugs.
Choice C reason: Nurses assess drugs, not just pharmacists; returning is nurse-initiated. This misplaces responsibility, per nursing pharmacology. It’s universally distinct, errors in duty allocation.
Choice D reason: Giving altered drugs risks harm; reporting alone isn’t enough. Returning is safer, per nursing standards. This fails universally, distinctly compromising medication safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Insulin, a protein, is broken down in the stomach; parenteral delivery preserves it. This fits, per nursing pharmacology. It’s universally true, distinctly ensuring effective diabetes management.
Choice B reason: Insulin doesn’t affect bile production; stomach destruction is the issue. This misaligns, per nursing standards. It’s universally distinct, errors in insulin’s purpose.
Choice C reason: Solvent composition isn’t why; gastric digestion prevents oral use. This errors, per nursing pharmacology. It’s universally distinct, missing the destruction rationale.
Choice D reason: Pepsin secretion isn’t relevant; stomach acid destroys insulin. This misidentifies, per nursing standards. It’s universally distinct, unrelated to parenteral necessity.
Correct Answer is C
Explanation
Choice A reason: Reading diluent instructions ensures proper reconstitution; it’s required. Discarding multidose isn’t, per nursing pharmacology. This is universally distinct, a necessary step.
Choice B reason: Refrigeration maintains stability post-reconstitution; it’s standard practice. Throwing multidose vials isn’t, per nursing standards. This holds universally, distinctly for storage.
Choice C reason: Multidose vials are reusable if sterile; discarding after one dose is wrong. This is the exception, per nursing pharmacology. It’s universally distinct, errors in use.
Choice D reason: Wiping with alcohol ensures sterility before needle entry; it’s essential. Discarding multidose isn’t, per nursing standards. This is universally distinct, a safety step.
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