The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL. vial. Which action should the nurse perform with the remainder of the medication?

Withdraw the medication into a syringe and label it with the client's name.

Throw the vial into the trash in the presence of another nurse.

Place the vial with the remainder of the medication into a locked drawer.

Ask another nurse to witness the medication being discarded.

Answer and Explanation

The Correct Answer is D

A. Withdraw the medication into a syringe and label it with the client's name:

This is not necessary for the remainder of the medication. The medication should not be withdrawn into a syringe for future use or left labeled, as it could lead to errors or contamination.

B. Throw the vial into the trash in the presence of another nurse:

Discarding the vial into the trash is not appropriate, as it does not ensure proper documentation, accountability, or safe storage of the remaining medication. Additionally, the presence of another nurse does not address these concerns.

C. Place the vial with the remainder of the medication into a locked drawer:

While storing the vial in a locked drawer may prevent unauthorized access, it does not address the need for proper documentation and labeling of the remaining medication. Additionally, the vial should not be stored with the medication still in it after withdrawal.

D. Ask another nurse to witness the medication being discarded:

This is the appropriate action. Many facilities require that the disposal of unused or remaining medications, especially controlled substances, be witnessed by another nurse to ensure accountability and compliance with regulations.

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Correct Answer is C

Explanation

In this situation, the best approach for the nurse to use when questioning the client about sexual activity is:

A. Ask questions in a vague, nonspecific format.

This approach may lead to confusion or misunderstanding on the part of the client and may not elicit the necessary information about sexual activity. It's important for the questions to be clear and specific to ensure accurate assessment and appropriate care.

B. Get the most difficult questions over with first.

Starting with the most difficult or sensitive questions may put the client on the defensive or make them feel uncomfortable. It's generally more effective to build rapport and trust with the client before broaching sensitive topics.

C. Begin with questions that are less sensitive in nature.

This approach allows the nurse to establish rapport and build trust with the client before addressing more sensitive topics such as sexual activity. Starting with less sensitive questions can help the client feel more comfortable and open up about their concerns.

D. Share personal values to put the client at ease.

Sharing personal values may not be appropriate or helpful in this context, as it could potentially influence the client's responses and compromise the objectivity of the assessment. The focus should be on creating a safe and supportive environment for the client to discuss their health concerns without feeling judged.

A. Speak loudly and face the client. B. Provide a very well lit meeting space. C. Use everyday language when explaining issues. D. Underline key words on the written information.

Correct Answer is C

Explanation

A. Speak loudly and face the client:

While it's important for the nurse to speak clearly and ensure the client can see their face, speaking loudly may be perceived as patronizing or disrespectful. Many older adults may have normal hearing but prefer clear and normal volume speech.

B. Provide a very well-lit meeting space:

Ensuring adequate lighting is important for facilitating communication, especially for older adults who may have visual impairments. However, it is not as crucial as using understandable language.

C. Use everyday language when explaining issues:

This is the most important action. Using everyday language, free of medical jargon, ensures that the information is easily understood by older adult clients. Complex medical terms and terminology may be confusing or overwhelming for them, so using plain language enhances comprehension and promotes effective learning.

D. Underline key words on the written information:

This can be a helpful strategy for emphasizing important points in written materials, but it is not as critical as using everyday language when explaining concepts orally. Additionally, not all older adults may benefit from written information, as some may have visual impairments or difficulties reading. Therefore, oral communication in understandable language is paramount.

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The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL. vial. Which action should the nurse perform with the remainder of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity. Which approach is best for the nurse to use?

Correct Answer is C

Explanation

When providing health teaching to older adult clients, which action is most important for the nurse to implement?

Correct Answer is C

Explanation

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