A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?

Ask the assistive personnel to witness the wasting of the controlled substance.

Dispose of the wasted medication into a sharps container.

Record the amount of medication wasted on the controlled substance inventory record.

Return the unused portion of the medication to the pharmacy.

Answer and Explanation

The Correct Answer is C

A.   Controlled substances typically require a licensed nurse or provider to witness the wasting, not assistive personnel.
B.   Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object.
C.   Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation.
D.   Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.

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Correct Answer is D

Explanation

A. Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B. Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C. Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.

A. Palpate the abdomen. B. Auscultate bowel sounds. C. Offer pain medication. D. Administer an antibiotic.

Correct Answer is B

Explanation

A. Palpating the abdomen may exacerbate pain or cause discomfort, and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step.
B. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus, which can contribute to the client's symptoms.
C. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms.
D. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.

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A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

Correct Answer is D

Explanation

A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain, nausea, and vomiting for the past 2 days. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who is unconscious. Which of the following actions is appropriate for the nurse to take when providing the client's oral care?

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A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

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A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?

A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider, the nurse still feels that it is unsafe. Which of the following actions should the nurse take?