A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Store the medication for the client’s next dose.
Discard the medication in a sharps container.
Return the medication to the pharmacy.
Dispose of the medication as waste in an approved receptacle.
The Correct Answer is D
A. Store the medication for the client’s next dose. This action is incorrect because storing a partially used vial of morphine can lead to contamination and is not standard practice for controlled substances.
B. Discard the medication in a sharps container. This action is incorrect because sharps containers are intended for needles and other sharp objects, not for liquid medications.
C. Return the medication to the pharmacy. This action is not typically required for small amounts of unused medication. The proper disposal method should be followed instead.
D. Dispose of the medication as waste in an approved receptacle. This action is correct. Unused portions of controlled substances like morphine should be disposed of according to facility policy, often involving a witness to ensure proper disposal and prevent misuse.
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Related Questions
Correct Answer is B
Explanation
A. Ondansetron is an antiemetic commonly used to prevent nausea and vomiting in clients receiving opioids like morphine. It is safe to use concurrently with morphine and does not require clarification.
B. Nalbuphine is an opioid agonist-antagonist that can counteract the effects of morphine and precipitate withdrawal symptoms in clients who are opioid-dependent. It should not be used concurrently with morphine, and the nurse should clarify this prescription with the provider.
C. Insulin glargine is a long-acting insulin used to manage blood glucose levels. It does not interact with morphine and is safe to use concurrently.
D. Acetaminophen is a non-opioid analgesic that can be used in combination with morphine to enhance pain relief. It does not require clarification.
Correct Answer is D
Explanation
A. Administer the medication while wearing protective footwear is not a standard precaution for administering hazardous IV medications. Protective footwear is generally used to prevent physical injuries rather than chemical exposure.
B. Wear an N95 respiratory mask when administering the medication is necessary for airborne precautions but not typically required for administering hazardous IV medications unless there is a risk of aerosolization.
C. Administer the medication in a negative pressure room is used for airborne infection isolation but is not a standard requirement for administering hazardous IV medications.
D. Wear gloves when handling the medication is essential to protect the nurse from exposure to hazardous drugs. Gloves provide a barrier to prevent skin contact with the medication, reducing the risk of absorption and contamination.
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