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 A

Explanation

A. Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions.
B. Postural drainage is typically done before meals to avoid potential nausea during the procedure.
C. Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure.
D. Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.

A. 1+ B. 4+ C. 3+ D. 2+

Correct Answer is C

Explanation

A. 1+ pitting edema is mild, with a slight indentation.

B. 4+ pitting edema is severe, with a deep indentation that lasts a long time.

C. 3+ pitting edema is moderate, with a deeper indentation that takes some time to rebound.
D. 2+ pitting edema is moderate, with a slight indentation that rebounds fairly quickly.

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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

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Explanation

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Correct Answer is C

Explanation

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