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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. “You should take this medication once each day at bedtime.” This statement is incorrect because rifampin is typically taken on an empty stomach, either 1 hour before or 2 hours after a meal, to ensure optimal absorption. Taking it at bedtime is not a standard recommendation.
B. “You can continue to wear soft contact lenses while taking this medication.” This statement is incorrect because rifampin can cause discoloration of bodily fluids, including tears, which can stain soft contact lenses. Patients are usually advised to avoid wearing soft contact lenses during treatment.
C. “This medication will not interfere with the effectiveness of oral contraceptives.” This statement is incorrect because rifampin is known to reduce the effectiveness of oral contraceptives. Patients should be advised to use an alternative or additional form of contraception while taking rifampin.
D. “Your urine will turn orange while you are taking this medication.” This statement is correct. Rifampin commonly causes a harmless discoloration of urine, sweat, saliva, and tears to an orange or reddish color. Patients should be informed about this side effect to avoid unnecessary concern.

A. The client will use the deltoid muscle as an injection site. B. The client will administer insulin glargine before each meal. C. The client will take an additional dose of insulin glargine prior to exercise. D. The client will wear his reading glasses when drawing up a dose of insulin glargine.

Correct Answer is D

Explanation

A. The client will use the deltoid muscle as an injection site is incorrect because insulin glargine is typically administered subcutaneously in areas such as the abdomen, thigh, or upper arm, not specifically the deltoid muscle.
B. The client will administer insulin glargine before each meal is incorrect because insulin glargine is a long-acting insulin that is usually administered once daily, not before each meal.
C. The client will take an additional dose of insulin glargine prior to exercise is incorrect because insulin glargine is not typically adjusted based on exercise. Instead, short-acting insulin or dietary adjustments are used to manage blood glucose levels during physical activity.
D. The client will wear his reading glasses when drawing up a dose of insulin glargine is an appropriate outcome. Ensuring that the client can accurately measure and administer the correct dose of insulin is crucial for effective diabetes management and preventing dosing errors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

Correct Answer is D

Explanation

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