The nurse is preparing to administer a medication from a multi-dose bottle.
The label is torn and soiled, but the name of the medication is still readable.
What is the nurse's priority action?

Administer the medication if the name of the drug can be clearly read.

Discard the entire bottle and contents and obtain a new bottle.

Ask another nurse to verify the contents of the bottle.

Find the drug information and make a new label for the bottle.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Administering the medication even if the name of the drug can be clearly read is risky because the rest of the label might contain essential information like dosage, expiration date, and other critical instructions. Administering a medication without complete labeling increases the risk of medication errors.

Choice B rationale

Discarding the entire bottle and contents and obtaining a new bottle is the safest option. It ensures that the nurse is using a medication with a fully intact label, which includes all necessary information to safely administer the medication, such as dosage, route, and expiration date.

Choice C rationale

Asking another nurse to verify the contents of the bottle is not sufficient because the torn and soiled label still lacks complete information. Without all details, there's a risk of administering the wrong dosage or an expired medication.

Choice D rationale

Finding the drug information and making a new label for the bottle is not appropriate because it does not guarantee the accuracy of the dosage or other critical details that were on the original label. It's better to use a completely labeled and verified medication bottle.

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Correct Answer is A

Explanation

Choice A rationale

Barrier contraceptives are recommended for women taking HMG-CoA reductase inhibitors due to the potential teratogenic effects of these drugs. This precaution is crucial as these medications can cause fetal harm if used during pregnancy.

Choice B rationale

While ophthalmic examinations may be important for other medications, they are not a primary concern for HMG-CoA reductase inhibitors. These drugs mainly affect cholesterol synthesis and have less direct impact on vision.

Choice C rationale

Although a cholesterol-lowering diet is beneficial, it is not the primary teaching point when discussing HMG-CoA reductase inhibitors. The emphasis should be on medication adherence and managing potential adverse effects.

Choice D rationale

Reporting respiratory symptoms is important for many medications but is not the primary focus for HMG-CoA reductase inhibitors. The priority is to inform patients about the importance of contraception and potential side effects related to the medication.

A. A patient 3 days after surgery. B. A patient with cancer. C. A patient with hypotension. D. A patient with a concussion.

Correct Answer is B

Explanation

Choice A rationale

A patient 3 days after surgery may still require higher doses of opioids for pain management, but the duration and intensity of postoperative pain typically decrease over time. This patient may not necessarily require a higher-than-expected dose compared to others.

Choice B rationale

Patients with cancer often experience severe and chronic pain due to the disease itself or its treatments. These patients may develop tolerance to opioids over time, necessitating higher-than-expected doses to achieve adequate pain relief.

Choice C rationale

Hypotension is a contraindication for high doses of opioids, as opioids can cause further blood pressure reduction. This patient would require careful dose adjustment to avoid exacerbating hypotension.

Choice D rationale

Patients with a concussion are at risk of altered mental status and respiratory depression from opioids. Therefore, higher doses are generally avoided to prevent worsening of these conditions.

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The nurse is preparing to administer a medication from a multi-dose bottle.The label is torn and soiled, but the name of the medication is still readable.What is the nurse's priority action?

Nursing Test Bank

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The nurse is preparing to administer a medication from a multi-dose bottle.
The label is torn and soiled, but the name of the medication is still readable.
What is the nurse's priority action?