A nurse is preparing to administer a controlled substance to a client for pain management.

Which of the following actions should the nurse take?

Verify the count total of the controlled substance after removing the amount needed.

Place the wasted portion of the controlled substance in the sharps container.

Report any discrepancy in the count total of the controlled substance after administration.

Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.

Answer and Explanation

The Correct Answer is D

Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.
This is because if a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse.
Choice A is wrong because the count total of the controlled substance should be verified before removing the amount needed, not after.
Choice B is wrong because the wasted portion of the controlled substance should not be placed in the sharps container.
It should be disposed of according to facility/agency policy.
Choice C is wrong because any discrepancy in the count total of the controlled substance should be reported immediately, not after administration 1.

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Correct Answer is D

Explanation

In general, parental (or legal guardian) consent is required for any diagnostic or surgical procedure performed on a child under the age of 181.
Choice A is wrong because the mother’s 21-year-old sibling is not a parent or legal guardian of the infant.
Choice B is wrong because the infant’s provider cannot sign the consent form on behalf of the infant.
Choice C is wrong because the infant’s grandparent cannot sign the consent form unless they are a legal guardian of the infant.

A. Dilute each crushed medication with sterile water. B. Combine the medications with the formula in the feeding bag. C. Flush the NG tube with 5 mL of sterile water prior to administration. D. Mix the medications together in a single syringe.

Correct Answer is A

Explanation

When administering multiple medications via an NG tube, each medication should be prepared separately by crushing (if appropriate) and diluting it with sterile water. This method helps prevent drug interactions, ensures that medications are adequately dissolved, and minimizes the risk of clogging the tube.

Choice B is wrong because medications should not be combined with the formula in the feeding bag.
Choice C is wrong because the NG tube should be flushed with at least 15 to 30 mL of water before and after drug delivery.
Choice D is wrong because each medication should be administered separately when it is being given at the same time.

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A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

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A nurse is preparing to administer a controlled substance to a client for pain management.

Which of the following actions should the nurse take?