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?

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

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

Dispose of the excess medication in the sharps container.

Give the full contents of the prefilled syringe.

Answer and Explanation

The Correct Answer is A

A.   Discarding excess medication with a witness is necessary as the medication cannot be saved or reused.
B.   Morphine is a controlled substance, and administering a partial dose and saving the rest for later use may lead to potential errors, diversion, or contamination of the remaining medication.
C.   While excess medication should be disposed of properly, it is not necessary to dispose of the entire in the sharp’s container. Only the container itself should go to the sharp’s container.

D.   The nurse should not administer the full prescribed dose of morphine from the prefilled syringe as that is an overdose as it can lead to respiratory depression.

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Correct Answer is D

Explanation

D. Before administering any medication, the nurse should positively identify the client using at least two unique identifiers (e.g., name, date of birth, medical record number). Positive identification helps prevent medication errors and ensures that the medication is administered to the intended recipient.
A. Validating the prescription with the available medication is an important step to ensure that the correct medication is being administered. However, before doing so, it's essential to confirm the identity of the client and the correct time for administration.
B. Calculating the correct amount of medication is necessary to ensure that the client receives the appropriate dose. However, before performing this calculation, it's essential to confirm the identity of the client and the correct time for administration.
C. Documenting the time of medication administration is important for maintaining an accurate record of the client's medication administration history. However, before documenting, it's crucial to confirm the identity of the client and the correct time for administration.

A. Female clients must have a negative mammogram prior to beginning therapy. B. Clients must have a Papanicolaou test every 6 months during treatment. C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy. D. Sexually active female clients must use two forms of birth control during treatment.

Correct Answer is D

Explanation

D. One of the primary requirements of the iPledge program for sexually active females of childbearing potential is the use of two forms of contraception simultaneously, beginning one month before starting isotretinoin therapy, throughout therapy, and for one month after discontinuation of therapy. This is to ensure effective contraception and prevent pregnancy due to the teratogenic effects of isotretinoin.
A. While mammograms are important screening tests for breast cancer, they are not a requirement of the iPledge program for female clients receiving isotretinoin.
B. Papanicolaou (Pap) tests, which screen for cervical cancer, are not a requirement of the iPledge program. However, sexually active females of childbearing potential must have monthly pregnancy tests and must agree to use two forms of contraception simultaneously during isotretinoin therapy.
C. There is no requirement for clients to take a daily supplement of vitamin A prior to initiating isotretinoin therapy as part of the iPledge program.

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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

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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