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. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.

A. Request a different medication from the provider. B. Premedicate the client with diphenhydramine. C. Administer the medication to the client. D. Request a different route of administration from the provider.

Correct Answer is C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

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 collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Correct Answer is A

Explanation

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

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A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?

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