nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?

"Ask a friend to dispose of the medication in a dumpster."

"Dispose of unused prescription medications in the original packaging."

"Crush unused opioids and dispose of them in a sealed plastic bag."

"Mix unused medications in coffee grounds before disposing of them."

Answer and Explanation

The Correct Answer is D

A. “Ask a friend to dispose of the medication in a dumpster”: This is not a safe or recommended method for disposing of unused medications. Medications can be harmful or fatal if they are ingested by children, pets, or anyone for whom they were not prescribed.

B. “Dispose of unused prescription medications in the original packaging”: While it’s important to keep medications in their original packaging while they’re being used, this is not the best method for disposal. The original packaging often contains personal information that should not be shared, and it does not prevent accidental ingestion.

C. “Crush unused opioids and dispose of them in a sealed plastic bag”: Crushing opioids can be dangerous as it can release a potentially lethal dose of the medication. It’s also not recommended to dispose of medications in the regular trash, even if they’re in a sealed bag, as they could still be accessed by children or pets.

D. “Mix unused medications in coffee grounds before disposing of them”: This is the recommended method for disposing of unused medications at home. By mixing medications with an unpalatable substance like coffee grounds, it discourages anyone from ingesting them. The mixture can then be placed in a sealed plastic bag and thrown away in the regular trash. This method helps to prevent accidental ingestion and protects client privacy.

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Correct Answer is C

Explanation

A. Hydroxyzine: Hydroxyzine is an antihistamine medication commonly used to treat anxiety and allergic reactions. While it may have interactions with other medications, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining medications with sedative effects.

B. Clozapine: Clozapine is an antipsychotic medication primarily used to treat schizophrenia in cases where other medications have not been effective. While it may have interactions with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple psychotropic medications.

C. Linezolid: Linezolid is an antibiotic medication used to treat certain bacterial infections, including those caused by drug-resistant organisms. It is contraindicated with mirtazapine due to the risk of serotonin syndrome, a potentially life-threatening condition that can occur when serotonin levels in the brain become too high. Concurrent use of linezolid and mirtazapine can lead to serotonin syndrome due to their effects on serotonin levels.

D. Nortriptyline: Nortriptyline is a tricyclic antidepressant medication used to treat depression and various other conditions. While it may interact with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple antidepressant medications due to the risk of serotonin syndrome.

A. Massage the injection site after administering the medication. B. Hold the skin taut at the injection site while administering the medication. C. Administer the medication into the anterolateral or posterolateral abdominal area. D. Expel the air bubble from the syringe prior to administering the medication.

Correct Answer is C

Explanation

A) Massage the injection site after administering the medication:
Massaging the injection site after administering enoxaparin or any other medication is not recommended. It could potentially disrupt the absorption of the medication or cause tissue damage at the injection site. Therefore, this action is incorrect.

B) Hold the skin taut at the injection site while administering the medication:
Holding the skin taut at the injection site is not necessary for administering enoxaparin. Unlike some intramuscular injections, enoxaparin is typically administered subcutaneously, and holding the skin taut may not be required. This action is unnecessary and not part of the standard procedure for administering enoxaparin.

C) Administer the medication into the anterolateral or posterolateral abdominal area:
This is the correct action. Enoxaparin is usually administered subcutaneously into the anterolateral or posterolateral abdominal area. These sites have a layer of adipose tissue that allows for absorption of the medication. Administering enoxaparin into these areas helps minimize the risk of injury to underlying structures and ensures optimal absorption of the medication.

D) Expel the air bubble from the syringe prior to administering the medication:
While expelling air bubbles from the syringe is a standard practice when preparing medications for injection, it is not specifically related to the administration of enoxaparin. However, ensuring that the syringe is free of air bubbles before injection is still important to prevent air embolism or inaccurate dosing. Therefore, while this action is generally appropriate, it does not address the specific administration technique for enoxaparin.

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nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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