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 C
Explanation
A. Monitor the client for hypotension is not specifically required for epoetin alfa administration. Hypotension is not a common adverse effect of this medication.
B. Inject at a 15-degree angle is incorrect. Subcutaneous injections are typically administered at a 45 to 90-degree angle, not 15 degrees.
C. Check the client’s hemoglobin level is essential before administering epoetin alfa. Epoetin alfa stimulates red blood cell production, and monitoring hemoglobin levels helps assess the effectiveness and safety of the treatment.
D. Administer the medication in the deltoid is not the preferred site for subcutaneous injections. Epoetin alfa is usually administered in the abdomen or thigh.
Correct Answer is A
Explanation
A. Elevated hematocrit level can indicate hemoconcentration due to fluid volume deficit. When there is a decrease in plasma volume, the concentration of red blood cells increases, leading to a higher hematocrit level.
B. Weight gain is typically associated with fluid retention, not fluid volume deficit. In heart failure, weight gain can indicate worsening fluid overload.
C. Shortness of breath is a common symptom of fluid overload in heart failure, not fluid volume deficit. It occurs due to pulmonary congestion and edema.
D. Distended neck veins are a sign of increased central venous pressure, often seen in fluid overload rather than fluid volume deficit.
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