If there is a change in color, consistency, or odor of a drug, the nurse should know that:
This frequently occurs in some drugs and is not significant
The drug must not be given and should be returned to the pharmacy in exchange for a fresh supply
Only the pharmacist is responsible for the medications kept in the patient’s drug drawer and he/she must be the one to remove it
The drug may be given, but changes in appearance should be reported to the pharmacy
The Correct Answer is B
Choice A reason: Changes signal potential instability, not normal variation; returning is safer. This errors, per nursing pharmacology. It’s universally distinct, risking potency loss in administration.
Choice B reason: Altered color, consistency, or odor suggests degradation; returning ensures safety. This aligns with nursing standards. It’s universally applied, distinctly protecting patients from ineffective drugs.
Choice C reason: Nurses assess drugs, not just pharmacists; returning is nurse-initiated. This misplaces responsibility, per nursing pharmacology. It’s universally distinct, errors in duty allocation.
Choice D reason: Giving altered drugs risks harm; reporting alone isn’t enough. Returning is safer, per nursing standards. This fails universally, distinctly compromising medication safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 30 cc overestimates; cups lose accuracy below 10 cc typically. Syringes are better for small doses. This errors per nursing standards. It’s universally distinct, impractical for precise small-volume measurement.
Choice B reason: 10 cc is the threshold; below this, cups are inaccurate. Syringes ensure precision, per nursing pharmacology. This aligns universally, distinctly standard for accurate liquid dosing.
Choice C reason: 20 cc exceeds the inaccuracy limit; 10 cc is correct. Cups falter below this level. This choice errors per nursing standards. It’s universally distinct, overestimating the threshold.
Choice D reason: 5 cc underestimates; inaccuracy starts at 10 cc for cups. Syringes are needed below this. This errors per nursing pharmacology. It’s universally distinct, missing the mark.
Correct Answer is C
Explanation
Choice A reason: Temperature isn’t critical for morphine; respiratory depression is priority. This errors per nursing pharmacology standards. It’s universally distinct, less urgent than breathing.
Choice B reason: BP is relevant, but morphine’s main risk is respiratory. Rate trumps it per nursing standards. This is universally distinct, secondary to respiration.
Choice C reason: Morphine depresses breathing; respiratory rate is critical pre-administration. This aligns with nursing pharmacology standards. It’s universally distinct, ensuring safety first.
Choice D reason: Heart rate matters less than respiratory risk with morphine. This choice misaligns with nursing priorities. It’s universally distinct, not the top concern.
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