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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is D
Explanation
D. Prednisone can suppress the immune system, making individuals more susceptible to infections. Sore throat can be a sign of an infection, and it's important for clients taking prednisone to report any signs of infection, including sore throat, to their healthcare provider promptly.
A. Prednisone can cause sodium retention and fluid retention, leading to increased blood pressure and other complications. Therefore, clients taking prednisone should generally aim to limit their sodium intake rather than increase it.
B. Prednisone is typically taken with food or milk to help minimize gastrointestinal irritation. Taking prednisone on an empty stomach may increase the risk of gastrointestinal side effects such as stomach upset or ulcers.
C. Weight gain, rather than weight loss, is a common side effect of prednisone. Prednisone can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain.
Clients should be advised to watch for signs of weight gain and discuss any significant changes with their healthcare provider.
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