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: Back-of-tongue placement eases swallowing; it’s standard practice. Last med isn’t a rule. This fits nursing pharmacology standards. It’s universally distinct, correct.
Choice B reason: Water moistens mouth, aiding swallowing; it’s routine always. Last med isn’t required. This aligns with nursing standards. It’s universally distinct, proper.
Choice C reason: Importance order isn’t a principle; other steps are standard. This is the exception per nursing pharmacology. It’s universally distinct, not applicable.
Choice D reason: Staying ensures meds are taken; it’s essential always. Last med isn’t a principle. This fits nursing standards. It’s universally distinct, safety-focused.
Correct Answer is D
Explanation
Choice A reason: Convenience isn’t key; peak action timing drives morning use. This errors per nursing pharmacology standards. It’s universally distinct, missing diuretic scheduling rationale.
Choice B reason: Mobility doesn’t boost urine output; drug action does primarily. This choice misaligns with nursing standards. It’s universally distinct, unrelated to peak effect.
Choice C reason: Fluid intake isn’t the focus; peak diuresis timing matters. This errors per nursing pharmacology principles. It’s universally distinct, off the main reason.
Choice D reason: Morning dosing ensures peak diuretic effect occurs awake, avoiding nocturia. This fits nursing pharmacology standards. It’s universally distinct, optimizing patient comfort effectively.
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