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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

A. Alopecia B. Drowsiness C. Tinnitus D. Peripheral edema

Correct Answer is B

Explanation

Choice A rationale:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

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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?

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