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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Take a tablet every 10 minutes until the pain subsides.”: This is not correct. Nitroglycerin tablets are typically taken at the first sign of an angina attack. If the pain is not relieved within 5 minutes, a second tablet may be taken. If the pain still persists after another 5 minutes, a third tablet may be taken. However, if the pain continues after a total of 3 tablets in 15 minutes, emergency medical help should be sought.
B. “Place the tablet under the tongue until dissolved.”: This is the correct answer. Nitroglycerin sublingual tablets should be placed under the tongue and allowed to dissolve. This allows for rapid absorption of the medication into the bloodstream through the mucous membranes of the mouth.
C. “Store the tablets in a refrigerator in a plastic container.”: This is not correct. Nitroglycerin tablets should be stored at room temperature, away from light and moisture. They should not be stored in a refrigerator or a plastic container as this can cause the tablets to lose their effectiveness.
D. “Call 911 if pain persists 30 minutes after taking one tablet.”: This is not correct. If chest pain is not relieved within 5 minutes after taking a nitroglycerin tablet, a second tablet should be taken. If the pain still persists after another 5 minutes, a third tablet may be taken. However, if the pain continues after a total of 3 tablets in 15 minutes, emergency medical help should be sought. Waiting 30 minutes could delay necessary medical treatment.
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.
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