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 A

Explanation

A. Taking a high-ceiling diuretic, such as furosemide, can lead to hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Low potassium levels enhance the effects of digoxin on the heart, making toxicity more likely.
B. Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity. Statins are used to lower cholesterol levels and do not significantly interact with digoxin.
C. Having a 10-year history of COPD does not predispose a client to digoxin toxicity. COPD affects the respiratory system and is not directly related to digoxin metabolism or excretion.
D. Having a prolapsed mitral valve is a cardiac condition but does not specifically increase the risk of digoxin toxicity. The primary concern with digoxin toxicity is electrolyte imbalances, particularly potassium levels.

A. Monitor the client’s oxygen saturation. B. Monitor the client for seizure activity. C. Check the client’s urinary output. D. Auscultate the client’s bowel sounds.

Correct Answer is A

Explanation

A. Monitor the client’s oxygen saturation is crucial when administering diazepam for sedation. Diazepam can cause respiratory depression, so monitoring oxygen saturation helps ensure the client is receiving adequate oxygen.
B. Monitor the client for seizure activity is not necessary in this context. Diazepam is actually used to treat seizures, so it is unlikely to cause them as an adverse reaction.
C. Check the client’s urinary output is important for overall health but is not specifically related to monitoring for adverse reactions to diazepam.
D. Auscultate the client’s bowel sounds is not relevant for assessing adverse reactions to diazepam. Bowel sounds are more related to gastrointestinal function.

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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 caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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