The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
Return the medication to the pharmacy.
Notify the provider.
Give the medication.
Discard the medication.
The Correct Answer is A
The correct answer is choice a. Return the medication to the pharmacy.
Choice A rationale:
Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.
Choice B rationale:
Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.
Choice C rationale:
Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.
Choice D rationale:
Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.
A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.
A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.
A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a different site or route for administration if necessary.
Correct Answer is D
Explanation
Metronidazole is an antibiotic that is effective against anaerobic bacteria and protozoa. It is not effective against Gram-negative bacteria such as Pseudomonas aeruginosa or Klebsiella, nor is it effective against fungi such as Candida. However, it is the drug of choice for the treatment of Trichomoniasis vaginalis, a common sexually transmited infection caused by a protozoan parasite. Therefore, the nurse should include in the teaching that metronidazole is indicated for the treatment of Trichomoniasis vaginalis.
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