A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client.

Which of the following actions should the nurse take for wasting the excess medication?

Save the excess medication for the next administration.

Return the excess medication to the secure cabinet.

Place the excess medication in the sharps container.

Have a second nurse witness the disposal of the excess medication.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Saving the excess medication for the next administration is not recommended. This could lead to medication errors.
Choice B rationale:
Returning the excess medication to the secure cabinet is not the proper way to dispose of excess medication. It could be accidentally used by someone else.
Choice C rationale:
Placing the excess medication in the sharps container is not correct. Sharps containers are for sharp objects like needles, not for medication.
Choice D rationale:
Having a second nurse witness the disposal of the excess medication is the correct action. This ensures accountability and prevents misuse of the medication.

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Correct Answer is A

Explanation

Choice A rationale:
Fatigue is a common symptom of iron deficiency due to the body’s inability to produce enough hemoglobin, which helps carry oxygen in the blood.
Choice B rationale:
Goiter, an enlargement of the thyroid gland, is not related to iron deficiency but rather iodine deficiency.
Choice C rationale:
Tooth decay is generally caused by bacteria in the mouth and poor oral hygiene, not iron deficiency.
Choice D rationale:
Tetany, involuntary contraction of muscles, is typically associated with low calcium levels, not iron deficiency.

A. Phenytoin 100 mg PO every 8 hr. B. Lisinopril 20 mg PO every 12 hr. C. Hold for systolic BP less than 110 mm Hg. D. Morphine 2.5 mg IV bolus PRN for incisional pain. E. Regular insulin 7 units subcutaneous 30 min before breakfast and dinner.

Correct Answer is C

Explanation

Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.

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A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?

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A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client.

Which of the following actions should the nurse take for wasting the excess medication?