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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Motrin is ibuprofen, not acetylsalicylic acid at all. Aspirin is the correct term. This errors per nursing pharmacology. It’s universally distinct, a different drug.

Choice B reason: Ibuprofen isn’t acetylsalicylic acid; aspirin is instead. This choice misaligns with nursing standards. It’s universally distinct, errors in chemical identity.

Choice C reason: Acetylsalicylic acid equals aspirin, an analgesic commonly used. This matches nursing pharmacology standards. It’s universally recognized, distinctly accurate in naming.

Choice D reason: Tylenol is acetaminophen, not acetylsalicylic acid. Aspirin fits correctly. This errors per nursing pharmacology. It’s universally distinct, a separate medication.

A. Carefully read the instructions on the label regarding the proper diluent to use B. Refrigerate the vial after use C. Throw any multidose vials away after giving a single dose D. Wipe the top of the vial with an alcohol sponge before inserting the needle

Correct Answer is C

Explanation

Choice A reason: Reading diluent instructions ensures proper reconstitution; it’s required. Discarding multidose isn’t, per nursing pharmacology. This is universally distinct, a necessary step.

Choice B reason: Refrigeration maintains stability post-reconstitution; it’s standard practice. Throwing multidose vials isn’t, per nursing standards. This holds universally, distinctly for storage.

Choice C reason: Multidose vials are reusable if sterile; discarding after one dose is wrong. This is the exception, per nursing pharmacology. It’s universally distinct, errors in use.

Choice D reason: Wiping with alcohol ensures sterility before needle entry; it’s essential. Discarding multidose isn’t, per nursing standards. This is universally distinct, a safety step.

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If there is a change in color, consistency, or odor of a drug, the nurse should know that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Acetylsalicylic acid is also known as:

Correct Answer is C

Explanation

When reconstituting a powdered medication to liquid form, the nurse must be sure to do all the following EXCEPT:

Correct Answer is C

Explanation

A nurse is reinforcing discharge information for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse make?

When pouring liquid medication:

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In what area is an "ophthalmic use only" medication administered?

Angiotensin inhibitors like Vasotec (enalapril):

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