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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Zinc is not known to significantly interfere with the absorption of levothyroxine. While it is important to consider potential interactions with any supplement, zinc does not require a specific time gap when taken with levothyroxine.
B. Vitamin C does not interfere with the absorption of levothyroxine. In fact, some studies suggest that vitamin C might enhance the absorption of levothyroxine, but it does not necessitate a waiting period.
C. Calcium is known to interfere with the absorption of levothyroxine. Calcium supplements can bind to levothyroxine in the gastrointestinal tract, reducing its absorption. Therefore, it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements.
D. Ginkgo biloba does not have a significant interaction with levothyroxine. While it is always good practice to monitor for any potential interactions, ginkgo biloba does not require a specific waiting period when taken with levothyroxine.
Correct Answer is A
Explanation
A. Hypertension is a serious manifestation of an interaction between phenelzine, a monoamine oxidase inhibitor (MAOI), and tyramine-rich foods like aged cheese. This interaction can lead to a hypertensive crisis, which is a medical emergency.
B. Diarrhea is not a typical manifestation of the interaction between phenelzine and tyramine-rich foods. The primary concern is hypertension.
C. Bradycardia is not associated with the interaction between phenelzine and tyramine-rich foods. The interaction typically causes an increase in blood pressure, not a decrease in heart rate.
D. Somnolence is not a common manifestation of this interaction. The primary concern is the risk of hypertensive crisis.
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