The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

One nurse who is going off duty and one nurse coming on duty.

The unit's head nurse and a hospital pharmacist.

Everyone who has given or will be giving narcotics on both shifts.

One pharmacy technician and the unit's head or charge nurse.

Answer and Explanation

The Correct Answer is A

Choice A reason: Narcotics are controlled substances requiring strict accountability; two nurses—one ending and one starting the shift—verify counts to ensure accuracy and prevent diversion per regulatory standards.

Choice B reason: The head nurse and pharmacist may oversee inventory, but shift change counts involve direct caregivers for real-time accuracy, not administrative staff, ensuring immediate responsibility and oversight.

Choice C reason: Involving all nurses from both shifts is impractical and unnecessary; it dilutes accountability and increases error risk, as only two are needed to confirm the count efficiently.

Choice D reason: Pharmacy technicians lack authority over unit narcotics, and the charge nurse alone doesn’t suffice; two nurses ensure a witnessed, reliable count per hospital policy and law.

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Correct Answer is B

Explanation

Choice A reason: A 12-degree angle is too shallow, increasing the risk of incorrect placement and ineffective administration of the intradermal injection.

Choice B reason: The 15-degree angle ensures precise intradermal placement, forming a wheal that indicates proper administration into the dermis for optimal absorption.

Choice C reason: A 30-degree angle places the medication too deep into subcutaneous tissue, compromising intended drug absorption.

Choice D reason: A 45-degree angle results in subcutaneous rather than intradermal injection, altering the drug’s effectiveness and purpose.

A. Remove the syringe, discard the medication, and start over. B. Give the medication as ordered. C. Remove the syringe, change the needle, and give the medication. D. Omit the dose.

Correct Answer is A

Explanation

Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.

Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.

Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.

Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.

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The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

Correct Answer is B

Explanation

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

Correct Answer is A

Explanation

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