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 C
Explanation
Choice A reason: Antipyretics reduce fever; Coumadin prevents clots, not fever. This misidentifies purpose, per nursing pharmacology. It’s a universal error, distinctly unrelated to anticoagulation therapy.
Choice B reason: Antibiotics fight infection; Coumadin thins blood, not bacteria. This errors in class, per nursing standards. It’s universally distinct, missing Coumadin’s anticoagulant role entirely.
Choice C reason: Coumadin (warfarin) is an oral anticoagulant, preventing clotting effectively. This matches, per nursing pharmacology. It’s universally recognized, distinctly applied for blood clot management.
Choice D reason: Anti-inflammatories reduce swelling; Coumadin targets clotting, not inflammation. This misaligns, per nursing standards. It’s universally distinct, errors in drug classification comprehensively.
Correct Answer is A
Explanation
Choice A reason: Left-side (Sim’s) aligns with colon, easing rectal administration. This fits nursing pharmacology standards precisely. It’s universally recognized, distinctly effective for suppositories/enemas.
Choice B reason: Supine limits rectal access; left-side is optimal instead. This choice errors per nursing standards. It’s universally distinct, impractical for rectal delivery.
Choice C reason: Prone hinders rectal insertion; left-side aids it better. This misaligns with nursing pharmacology principles. It’s universally distinct, ineffective for administration.
Choice D reason: Right-side doesn’t match colon anatomy as well. Left-side is standard per nursing standards. This errors universally, distinctly less effective.
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