A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

The pharmacist restocks the medication drawer each day.

The nursing supervisor unlocks the medication drawer at the beginning of each shift.

Limit controlled substances in the medication drawer to one dose.

Opened medication in the medication drawer must be disposed of at the end of each shift.

Answer and Explanation

The Correct Answer is A

A. The pharmacist typically restocks the medication drawer each day to ensure that medications are available and up-to-date. This is an essential component of the unit-dose medication system.

B. The nursing supervisor does not usually unlock the medication drawer; this is typically done by the nurse in charge or the individual administering the medications.

C. While it is important to limit the number of controlled substances, the medication drawer is usually stocked in a manner that allows for easy access to necessary medications, and there are regulations that govern this process.

D. Opened medications should not necessarily be disposed of at the end of each shift; they may be retained if they are still within their stability period and are properly stored according to protocols.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Remove the patch for two to four hours daily.": This is incorrect because transdermal nitroglycerin patches should be worn continuously for 24 hours, with a scheduled time to remove them (usually overnight) to prevent tolerance.

B. "Apply a new patch each day after waking up.": This instruction is correct; clients should apply a new patch daily to ensure continuous therapeutic effects while also allowing a break to reduce tolerance.

C. "Cover the patch with plastic wrap.": This is incorrect; covering the patch with plastic wrap can alter the absorption of the medication and is not necessary.

D. "Replace the existing patch with a new patch as soon as anginal pain begins.": This is incorrect; clients should not replace the patch immediately for angina. Instead, they should use sublingual nitroglycerin for immediate relief and follow the prescribed patch schedule.

A. "It's okay to put the drops in my eyes while I'm wearing my contacts." B. "I can expect to feel some irritation when I put these drops in my eyes." C. "I should expect to stop taking the medication after 3 weeks." D. "These eye drops might change the color of my eyes."

Correct Answer is B

Explanation

A. Brimonidine should not be instilled while wearing contact lenses; the client should remove them and wait at least 15 minutes before reinsertion.
B. Mild eye irritation, stinging, or burning is a common side effect of brimonidine and is an expected finding.
C. Brimonidine is used as a long-term treatment for open-angle glaucoma; it is not discontinued after a short course like 3 weeks.
D. Brimonidine does not change eye color; this is an effect associated with prostaglandin analogs such as latanoprost.

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A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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