A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Store the remaining half of the pill in the automated medication dispensing system.
Place the remaining half of the pill in the unit-dose package.
Return the remaining medication to the facility's pharmacy.
Dispose of the remaining medication while another nurse observes.
The Correct Answer is D
Choice A rationale:
Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.
Choice B rationale:
Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.
Choice C rationale:
Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.
Choice D rationale:
Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A hematocrit (Hct) value of 44% is within the expected range and does not require immediate reporting.
Choice B rationale:
A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.
Choice C rationale:
Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.
Choice D rationale:
A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.
Correct Answer is D
Explanation
Choice A rationale:
Peanuts are not directly related to influenza vaccine contraindications.
Choice B rationale:
Shellfish allergies are not directly related to influenza vaccine contraindications.
Choice C rationale:
Milk allergies are not directly related to influenza vaccine contraindications.
Choice D rationale:
Influenza vaccines are typically grown in eggs and may contain trace amounts of egg protein. A severe egg allergy can be a contraindication for receiving the influenza vaccine due to the risk of an allergic reaction.
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