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: Routine orders are daily, not fever-specific typically. PRN suits antipyretics better. This errors per nursing pharmacology. It’s universally distinct, less flexible.
Choice B reason: PRN allows antipyretics as needed for fever episodes. This aligns with nursing pharmacology standards. It’s universally applied, distinctly appropriate here.
Choice C reason: HS (bedtime) isn’t fever-timed; PRN fits antipyretics better. This choice misaligns with nursing standards. It’s universally distinct, off fever need.
Choice D reason: STAT is one-time urgent; PRN covers ongoing fever. This errors per nursing pharmacology. It’s universally distinct, not sustained use.
Correct Answer is D
Explanation
Choice A reason: Bolus is instant; time-release spreads meds slowly instead. Reduced doses fit better. This errors per nursing pharmacology. It’s universally distinct, incorrect.
Choice B reason: Crushing ruins time-release; reduced dosing is the goal. This choice misaligns with nursing standards. It’s universally distinct, errors in handling.
Choice C reason: Pills aren’t specific to time-release; dose reduction is key. This errors per nursing pharmacology. It’s universally distinct, lacks precision.
Choice D reason: Time-release capsules extend action, cutting daily doses effectively. This aligns with nursing pharmacology standards. It’s universally distinct, reducing frequency.
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