A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Dispose of the excess medication in the sharps container.

Give the full contents of the prefilled syringe.

Discard the excess medication with a second nurse as a witness.

Inject the prescribed dose and save the rest for a later use.

Answer and Explanation

The Correct Answer is C

A. Dispose of the excess medication in the sharps container: Medication should not be disposed of in sharps containers; proper protocols must be followed.
B. Give the full contents of the prefilled syringe: Administering more than the prescribed dose can lead to overdose and adverse effects.
C. Discard the excess medication with a second nurse as a witness: Controlled substances, such as morphine, require a witness for proper disposal of unused portions.
D. Inject the prescribed dose and save the rest for later use: Leftover medication should never be saved for later, as this violates safety protocols and poses legal risks.

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Correct Answer is A

Explanation

A. Headache: Headaches are a common adverse effect of nitroglycerin due to vasodilation and increased blood flow to the brain.
B. Polyuria: Nitroglycerin does not affect urinary output.
C. Ringing in the ears: Tinnitus is not associated with nitroglycerin use.
D. Increased blood pressure: Nitroglycerin causes vasodilation, which typically lowers blood pressure rather than increasing it.

A. Dicloxacillin B. Warfarin C. Esomeprazole D. Hydrochlorothiazide

Correct Answer is B

Explanation

A. Dicloxacillin: There are no significant interactions between garlic and dicloxacillin.
B. Warfarin: Garlic can increase the risk of bleeding when taken with warfarin due to its anticoagulant effects.
C. Esomeprazole: No known interaction between garlic and esomeprazole.
D. Hydrochlorothiazide: Garlic does not significantly interact with hydrochlorothiazide.

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Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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