The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

Ask another nurse to observe and cosign wasting the remaining drug from the vial.

Keep the remaining amount in the patient’s drawer to give at the next dose.

Record the amount unused in the patient’s chart.

Dispose of the vial with the remaining drug into a locked collection box.

Answer and Explanation

The Correct Answer is A

A. Schedule II drugs are controlled substances with a high potential for abuse. Proper disposal requires a witness, usually another nurse, to verify and cosign the waste to ensure accountability and prevent diversion.

B. Keeping the remaining drug in the patient’s drawer is unsafe and violates controlled substance regulations. Single-use vials should not be stored for later use.

C. While documentation of administered medication is necessary, simply recording the unused amount in the patient’s chart is insufficient. Controlled substances require proper disposal with a witness.

D. Controlled substances cannot be discarded in a general locked collection box without proper witnessing and documentation. The correct procedure is to have another nurse verify and cosign the waste before disposal.

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Correct Answer is C

Explanation

a. Collaboration and teamwork involve working with other healthcare professionals to improve patient outcomes, but in this case, the focus is specifically on meeting the patient's individual needs, which aligns more with patient-centered care.

b. Evidence-based practice involves integrating research and clinical expertise to improve healthcare outcomes, but this situation is not about applying research findings to treatment.

c. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. By addressing the financial barrier to medication access, the nurse ensures that the patient can adhere to their treatment plan, demonstrating patient-centered care.

d. Quality improvement involves evaluating healthcare processes to enhance patient safety and effectiveness, but this situation is more about addressing an individual patient's specific financial need rather than system-wide improvements.

A. Is a registered trademark. B. Is always capitalized. C. Describes the drug's chemical structure. D. Is non-proprietary.

Correct Answer is ["C","D"]

Explanation

A. A generic drug name is not a registered trademark. It is a non-proprietary name, and a trademark is specific to a brand-name drug.

B. Generic drug names are not capitalized. Brand names are capitalized, but generic names are written in lowercase.

C. The generic name often reflects the drug’s chemical structure or its pharmacological classification, which helps identify the active ingredient.

D. Generic names are non-proprietary, meaning they are not owned by any one company and can be used by multiple manufacturers once the patent for the brand-name drug expires.

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The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["C","D"]

Explanation

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