It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

is supplied in an ampule.

is to be mixed with another medication.

has to be reconstituted.

is clear.

Answer and Explanation

The Correct Answer is A

Choice A rationale: An ampule is a glass container that contains a single dose of medication. The medication is sealed under vacuum and must be broken open before use hence a filtered needle is a needle that has a filter in the hub that prevents glass particles from entering the syringe when drawing up the medication from the ampule. Glass particles can cause tissue damage, inflammation, infection, or embolism if injected into the patient. Therefore, it is most critical for the nurse to use a filtered needle when preparing a medication from an ampule.

Choice B rationale: Using a filtered needle is not specifically related to medications that need to be mixed with another medication.

Choice C rationale: Using a filtered needle is not necessary when preparing a parenteral medication that has to be reconstituted to remove particulate matter or contaminants.

Choice D rationale: Using a filtered needle is not specifically related to clear medications; it is more focused on the need to filter solutions.

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Correct Answer is B

Explanation

Choice A rationale: Injecting one mL of air into a vial before withdrawing 20 mg furosemide is an appropriate technique to equalize pressure in the vial.

Choice B rationale: Instructing a client to place a buccal medication under the client's tongue this is a method for administering sublingual medications. Buccal medications are placed between the cheek and the gum and allowed to dissolve slowly.

Choice C rationale: Pouring liquid medication to the 10 ml mark on a medication cup is acceptable, as long as the cup is held at eye level and the lowest point of the meniscus is used to measure the volume.

Choice D rationale: Selecting a 1 ml syringe with a 5/8 inch needle is suitable for giving heparin subcutaneously, as this ensures accuracy and minimizes tissue trauma.

A. Give the medication anyway because it's important for the client B. Withhold the medication and report it to the prescriber C. Withhold the medication and file an incident report D. Inform the client that the medication must be taken until the nurse gets an order to discontinue it

Correct Answer is B

Explanation

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

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It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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