A nurse is about to administer an injection of an opioid medication to a patient. The nurse has drawn 1 mL of the medication from a 2 mL vial.
What should the nurse do next?
Ask another nurse to observe the medication wastage.
Notify the pharmacy when wasting the medication.
Lock the remaining medication in the controlled substances cabinet.
Dispose of the vial with the remaining medication in a sharps container.
The Correct Answer is A
Choice A rationale
After drawing up the medication, the nurse should ask another nurse to observe the medication wastage. This is a standard procedure for controlled substances like opioids. The second nurse acts as a witness to ensure that the unused portion of the medication is disposed of properly and not diverted for inappropriate use.
Choice B rationale
Notifying the pharmacy when wasting the medication is not the immediate next step after drawing up the medication. While some institutions may require notification of the pharmacy for controlled substance wastage, the immediate next step is typically to have another nurse witness the wastage.
Choice C rationale
Locking the remaining medication in the controlled substances cabinet is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.
Choice D rationale
Disposing of the vial with the remaining medication in a sharps container is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Assisting the patient to a left side-lying position with the right knee flexed is often used for rectal examinations or administering enemas, but it does not directly address the issue of a large amount of fecal material in the colon.
Choice B rationale
Preparing the patient for a chest x-ray would not be beneficial in this situation. A chest x-ray would not provide further information about the fecal material in the colon.
Choice C rationale
Administering a cleansing enema can help to remove the fecal material from the colon. This is a common treatment for fecal impaction.
Choice D rationale
Performing a manual digital examination of the patient’s rectum can help to assess the amount of fecal material present, but it would not alleviate the patient’s abdominal pain or remove the fecal material.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Pupil clarity is not typically used to assess an older adult client’s risk for falls. It is more relevant in neurological assessments.
Choice B rationale
The appearance of gait is a crucial factor in assessing an older adult client’s risk for falls. Abnormalities in gait can increase the risk of falls.
Choice C rationale
Visual fields are important in assessing an older adult client’s risk for falls. Impaired visual fields can increase the risk of falls.
Choice D rationale
Visual acuity is important in assessing an older adult client’s risk for falls. Poor visual acuity can increase the risk of falls.
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