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 B

Explanation

A. Pap smears are not related to isotretinoin therapy.
B. Due to teratogenic risks, two forms of contraception are mandatory, starting 1 month before treatment.
C. Vitamin A supplementation increases toxicity risk and is contraindicated.
D. Mammograms are not required for isotretinoin therapy.

A. "This medication should start to alleviate the headache within 1 hour." B. "You might experience a feeling of pressure in your chest after taking this medication." C. "Do not take more than 200 milligrams of this medication within 24 hours." D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists." E. "You should discontinue this medication if pregnancy is planned or suspected." F. "This medication can cause you to feel tired." G. "You might experience a rash on your skin while taking this medication."

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.

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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 about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

Correct Answer is B

Explanation

A nurse in an outpatient clinic is caring for a client. Exhibits Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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