nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?

"Ask a friend to dispose of the medication in a dumpster."

"Dispose of unused prescription medications in the original packaging."

"Crush unused opioids and dispose of them in a sealed plastic bag."

"Mix unused medications in coffee grounds before disposing of them."

Answer and Explanation

The Correct Answer is D

A. “Ask a friend to dispose of the medication in a dumpster”: This is not a safe or recommended method for disposing of unused medications. Medications can be harmful or fatal if they are ingested by children, pets, or anyone for whom they were not prescribed.

B. “Dispose of unused prescription medications in the original packaging”: While it’s important to keep medications in their original packaging while they’re being used, this is not the best method for disposal. The original packaging often contains personal information that should not be shared, and it does not prevent accidental ingestion.

C. “Crush unused opioids and dispose of them in a sealed plastic bag”: Crushing opioids can be dangerous as it can release a potentially lethal dose of the medication. It’s also not recommended to dispose of medications in the regular trash, even if they’re in a sealed bag, as they could still be accessed by children or pets.

D. “Mix unused medications in coffee grounds before disposing of them”: This is the recommended method for disposing of unused medications at home. By mixing medications with an unpalatable substance like coffee grounds, it discourages anyone from ingesting them. The mixture can then be placed in a sealed plastic bag and thrown away in the regular trash. This method helps to prevent accidental ingestion and protects client privacy.

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Correct Answer is B

Explanation

A. “Weight gain”: Weight gain is typically a sign of fluid volume overload, not deficit. In heart failure, fluid can build up in the body, leading to weight gain.

B. “Elevated hematocrit level”: An elevated hematocrit level can indicate dehydration or fluid volume deficit. Hematocrit is the proportion of red blood cells to the total blood volume. When the body is dehydrated, the volume of fluid in the blood decreases, but the number of red blood cells remains the same, causing the hematocrit level to increase.

C. “Distended neck veins”: Distended neck veins are typically a sign of fluid volume overload, not deficit. This can occur in conditions such as heart failure when the heart is unable to pump blood effectively, causing fluid to back up into the veins.

D. “Shortness of breath”: While shortness of breath can occur with fluid volume deficit due to decreased cardiac output, it is also a common symptom of fluid volume overload in heart failure. Therefore, it is not the most specific indicator of fluid volume deficit in this case.

A. Administer the medication in a negative pressure room. B. Administer the medication while wearing protective footwear. C. Wear gloves when handling the medication. D. Wear an N95 respiratory mask when administering the medication.

Correct Answer is C

Explanation

A. “Administer the medication in a negative pressure room”: Administering the medication in a negative pressure room is not typically necessary when handling hazardous IV medications. Negative pressure rooms are primarily used for airborne precautions, such as tuberculosis or varicella.

B. “Administer the medication while wearing protective footwear”: While protective footwear can be important in certain situations, it’s not typically necessary when administering hazardous IV medications. The primary concern is preventing direct contact with the skin or mucous membranes.

C. “Wear gloves when handling the medication”: Wearing gloves is a standard precaution when handling hazardous medications. Gloves protect the skin from direct contact with the medication, reducing the risk of absorption through the skin.

D. “Wear an N95 respiratory mask when administering the medication”: An N95 respiratory mask is not typically necessary when administering hazardous IV medications. These masks are primarily used for airborne precautions. While some hazardous medications may require respiratory protection, it’s not a standard requirement for all hazardous IV medications.

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nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Correct Answer is B

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Correct Answer is C

Explanation

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