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 A
Explanation
Choice A reason: Hypnotics, like Ambien, induce sleep, matching Seconal’s primary action. This aligns with nursing pharmacology standards for sleep-producing drugs. It’s universally recognized, distinctly applied to facilitate rest effectively in practice.
Choice B reason: Anticoagulants prevent clotting, not induce sleep like hypnotics do. This misidentifies Seconal’s purpose, per nursing standards. It’s a universal error, distinctly unrelated to sleep production in pharmacology.
Choice C reason: Sedatives calm but don’t always induce sleep; hypnotics specifically do. This lacks precision, per nursing pharmacology. It’s universally distinct, missing the sleep focus of Seconal and Ambien.
Choice D reason: Psychotropics affect mood broadly, not just sleep like hypnotics. This errors in specificity, per nursing standards. It’s universally distinct, misaligning with the sleep-inducing role of these drugs.
Correct Answer is B
Explanation
Choice A reason: Label away aids reading, but thumbnail ensures dose accuracy. This errors per nursing standards. It’s universally distinct, less precise than thumbnail method.
Choice B reason: Thumbnail on cup line guarantees exact liquid dose poured. This aligns with nursing pharmacology standards. It’s universally applied, distinctly accurate for administration.
Choice C reason: Returning surplus risks contamination; thumbnail prevents overpouring. This choice misaligns with nursing safety. It’s universally distinct, unsafe for medication handling.
Choice D reason: Below-eye level risks misjudgment; thumbnail is precise. This errors per nursing pharmacology standards. It’s universally distinct, less accurate than standard.
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