A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

Discard the vial with the remaining medication in the sharp container.

Have another nurse witness the disposal of the remaining medication.

Draw up the remaining 1 mg in a syringe and label it with the contents, date, and time.

Store the vial in the client's medication drawer for future use.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Discarding the vial with the remaining medication in the sharp container is inappropriate. This would result in unnecessary waste of the medication and could lead to increased healthcare costs.

Choice B Reason:

Having another nurse witness the disposal of the remaining medication is inappropriate. Witnessing the disposal is typically required for controlled substances, but in this situation, it's more appropriate to use the remaining medication with appropriate documentation.

Choice C Reason:

Drawing up the remaining 1 mg in a syringe and label it with the contents, date, and time is appropriate. This approach minimizes medication wastage and allows for appropriate documentation of the extra dose drawn up. However, it is crucial to label the syringe clearly with the contents, date, and time to avoid any potential errors or confusion. This labeled syringe can then be used for subsequent doses, as long as it remains within the medication's expiration period and adheres to institutional policies.

Choice D Reason:

Storing the vial in the client's medication drawer for future use is inappropriate. Keeping the vial for future use without appropriate documentation is not recommended, as it may lead to medication errors or confusion.

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Correct Answer is A

Explanation

A client can withdraw consent at any time. This statement is accurate. Informed consent is a process that involves providing the client with information about a procedure or treatment, including its risks and benefits, to enable them to make an informed decision. A client has the right to withdraw their consent at any point in the process.

Choice B Reason:

A family member should witness the client's consent. The witnessing of informed consent is typically done by a healthcare professional involved in the procedure or a neutral third party, not a family member.

Choice C Reason:

A nurse is responsible for obtaining informed consent. While nurses may assist with the informed consent process by providing information and answering questions, the ultimate responsibility for obtaining informed consent usually lies with the healthcare provider performing the procedure.

Choice D Reason:

A minor who is pregnant is unable to give consent. The ability of a minor to give consent can vary based on jurisdiction and the specific circumstances. In many cases, minors may be able to provide consent for certain medical procedures, particularly if they are deemed mature enough to understand the implications. Being pregnant might not necessarily preclude a minor from giving consent. Legal and ethical considerations regarding minors' consent can vary, and healthcare providers should be aware of local regulations and guidelines.

A. Add 0.5 mL of diluent to the medication. B. Cleanse the tip of the ampule with an alcohol swab after opening. C. Use a filter needle to aspirate the medication. D. Inject air into the ampule prior to drawing the medication into a syringe.

Correct Answer is C

Explanation

Choice A Reason:

Adding 0.5 mL of diluent to the medication is inappropriate action. Ampules typically contain a single-dose of medication in a liquid form, and dilution is not necessary unless specified by the medication order or manufacturer.

Choice B Reason:

This is not necessary as the tip of the ampule is already sterile before opening. Cleansing after opening does not provide additional benefit and can introduce contaminants.

Choice C Reason:

Using a filter needle to aspirate the medication is inappropriate. Filter needles are not routinely used for administering medication from ample.

Choice D Reason:

This is not appropriate for ampules. Unlike vials, ampules do not require air to be injected. Air injection is necessary only for vials to create pressure, but ampules are opened and medication is drawn directly without the need for air.

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A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching with a newly licensed nurse about informed consent. Which of the following information include?

Correct Answer is A

Explanation

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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