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 B
Explanation
Choice A reason: Lungs aren’t affected by acetaminophen overdose; liver is the target. This misidentifies, per nursing pharmacology. It’s universally distinct, errors in overdose impact.
Choice B reason: Acetaminophen overdose causes liver failure via toxic NAPQI buildup. This matches, per nursing standards. It’s universally recognized, distinctly critical in toxicology.
Choice C reason: Kidneys excrete drugs; liver metabolizes acetaminophen, taking the hit. This errors, per nursing pharmacology. It’s universally distinct, missing the primary organ.
Choice D reason: Adrenals aren’t involved; liver suffers in acetaminophen overdose. This misaligns, per nursing standards. It’s universally distinct, errors in overdose pathology.
Correct Answer is B
Explanation
Choice A reason: Enzyme-stable meds suit oral use; nausea doesn’t allow it. This fits nursing pharmacology standards. It’s universally distinct, a viable condition.
Choice B reason: Nausea/vomiting blocks oral meds; other routes are needed. This is the exception per nursing standards. It’s universally distinct, impractical here.
Choice C reason: Cooperative swallowing enables oral administration; nausea hinders it. This aligns with nursing pharmacology. It’s universally distinct, a suitable scenario.
Choice D reason: Infection allows oral if swallowable; nausea prevents it. This fits nursing standards precisely. It’s universally distinct, not the issue.
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