A charge nurse is discussing the guidelines for narcotic medications with a newly licensed nurse. Which of the following information should the charge nurse include?
Verify the narcotic inventory count every 8 hr
Dispose of unused medication in the sharps container
Request an AP to witness the disposal of wasted medication
Report discrepancies in the narcotic inventory to the nurse manager
The Correct Answer is D
A. Verify the narcotic inventory count every 8 hr: Narcotic counts are typically verified at the beginning and end of each shift or according to facility policy, not strictly every 8 hours. This statement is partially correct but not comprehensive for safe practice.
B. Dispose of unused medication in the sharps container: Unused narcotics must be disposed of according to controlled substance regulations, usually requiring a witness and proper documentation. Disposal in a sharps container alone is inappropriate and unsafe.
C. Request an AP to witness the disposal of wasted medication: Witnessing narcotic disposal requires another licensed nurse, not an assistive personnel. Regulations mandate accountability by trained healthcare professionals to prevent diversion.
D. Report discrepancies in the narcotic inventory to the nurse manager: Any discrepancies in narcotic counts must be reported immediately to maintain compliance with controlled substance regulations, ensure patient safety, and prevent diversion. This is a primary responsibility of nurses handling narcotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A client who had an emergency appendectomy: While coughing can cause some discomfort at the abdominal incision site, it generally does not pose a high risk of serious complications if the client uses proper splinting techniques.
B. A client who had a vaginal hysterectomy: Coughing may cause mild discomfort or stress on the pelvic floor, but it is not typically associated with significant risk if the client follows postoperative instructions and uses support as needed.
C. A client who had a thyroidectomy: Coughing after a thyroidectomy can place stress on the surgical site in the neck, increasing the risk of bleeding, airway compromise, or wound dehiscence. This makes coughing a particular concern for immediate postoperative safety and monitoring.
D. A client who had cataract removal: Coughing does not pose a risk to the eye or surgical site following cataract surgery. Clients may be advised to avoid straining, but coughing is generally safe and not a priority concern.
Correct Answer is ["A","B","D"]
Explanation
A. Shuffling gait: A shuffling gait is a classic motor manifestation of Parkinson’s disease caused by rigidity and bradykinesia. Clients often take small, hesitant steps with reduced arm swing, which increases fall risk and affects mobility.
B. Resting tremor: Resting tremor, typically affecting the hands, fingers, or jaw, is one of the hallmark signs of Parkinson’s disease. It is most noticeable when the limb is at rest and decreases with voluntary movement.
C. Hypertension: Hypertension is not a direct manifestation of Parkinson’s disease. While autonomic dysfunction can occur, it more commonly causes orthostatic hypotension rather than elevated blood pressure.
D. Masklike facial expression: Reduced facial expressiveness, or “masklike” appearance, occurs due to rigidity of facial muscles. This is a characteristic symptom of Parkinson’s disease that affects nonverbal communication.
E. Diarrhea: Diarrhea is not typically associated with Parkinson’s disease. Gastrointestinal issues in Parkinson’s more commonly involve constipation due to slowed gastrointestinal motility.
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