nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

A) Return the remaining medication to the facility's pharmacy: Returning the remaining medication to the pharmacy is not appropriate in this situation because the medication has been removed from its original packaging and administered to the patient. Once medication has been removed from its original packaging and administered, it cannot be returned to the pharmacy for reuse or storage due to contamination risks and potential medication errors.

B) Dispose of the remaining medication while another nurse observes: This is the correct action. Since the prescribed dose is only half of the tablet, the nurse should dispose of the remaining half of the tablet while another nurse observes, ensuring proper disposal and adherence to medication administration policies and procedures. This prevents errors in subsequent doses and ensures accurate medication administration.

C) Store the remaining half of the pill in the automated medication dispensing system: Storing the remaining half of the pill in the automated medication dispensing system is not appropriate because the medication has already been removed from its original packaging and administered to the patient. Storing half tablets in the automated dispensing system could lead to medication errors and confusion during future administrations.

D) Place the remaining half of the pill in the unit-dose package: Placing the remaining half of the pill in the unit-dose package is not appropriate because the medication has already been removed from its original packaging and administered to the patient. Placing half tablets back into the unit-dose package could lead to medication errors and confusion during future administrations.

A. “Apply pressure to the IV site”: Applying pressure to the IV site is not the first action to take in the case of infiltration. Pressure might be applied after the IV has been removed to prevent further leakage of fluid, but it’s not the initial step.

B. “Slow the infusion rate”: Slowing the infusion rate is not the appropriate action when infiltration has occurred. The infusion should be stopped completely to prevent further infiltration and potential tissue damage.

C. “Elevate the extremity”: Elevating the extremity can help reduce swelling and discomfort caused by the infiltration. This should be done after the infusion has been stopped and the IV catheter has been removed.

D. “Flush the IV catheter”: Flushing the IV catheter is not appropriate when infiltration has occurred. Flushing could potentially worsen the infiltration and increase the risk of tissue damage. The IV catheter should be removed, and a new one should be inserted at a different site if IV access is still needed