The nurse is preparing a prescribed medication for a client from an ampule. Which of the following actions should the nurse take? Select all that apply.
Scrub the stem of the ampule with antimicrobial wipe.
Break the stem of the ampule away from the body
Attach a filter needle to the syringe.
Tap the stem of the ampule.
Wrap the stem of the ampule with a sterile gauze pad.
Correct Answer : B,C,E
A. Scrub the stem of the ampule with an antimicrobial wipe. This is not necessary because the stem of the ampule is broken and is not typically touched with hands or contaminated. The main concern is to prevent any glass from falling into the medication.
B. Break the stem of the ampule away from the body. Breaking the stem away from the body helps to prevent any shards of glass from falling into the medication or causing injury.
C. Attach a filter needle to the syringe. A filter needle is used to prevent any glass particles from entering the syringe when drawing up the medication from an ampule.
D. Tap the stem of the ampule. Tapping the stem may help remove any bubbles but is not a standard practice in ampule preparation.
E. Wrap the stem of the ampule with a sterile gauze pad. Wrapping the stem with a sterile gauze pad provides protection from glass shards and helps prevent injury when breaking the ampule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Can you describe the feeling you are experiencing?" Asking the patient to describe their sensation helps identify the nature of their discomfort and guides appropriate pain management or further investigation.
B. "Would you like me to give you some pain medication?" Offering pain medication may address the discomfort, but it is important to first understand the nature and severity of the pain.
C. "Do you feel better sitting in the chair?" This question assesses the patient’s comfort but does not address the cause of the pain or discomfort.
D. "Let me know if you are still uncomfortable in the chair." This is a follow-up question rather than an initial assessment, and it may not be proactive enough in addressing the cause of pain.
Correct Answer is C
Explanation
A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.
B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.
C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.
D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.
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