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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Phase I trials focus on healthy individuals, but the next phase (Phase II) involves patients with the target disease. Including both healthy and ill subjects at this stage is not appropriate.
B. Subjects with other diseases are not included in Phase II trials because the goal is to test the drug in individuals who have the specific condition the drug is intended to treat.
C. Phase II clinical trials focus on evaluating the drug’s efficacy and safety in individuals who have the disease it is designed to treat. This phase helps determine the optimal dosage and potential side effects in the target population.
D. Healthy subjects are included in Phase I trials to assess safety and pharmacokinetics, but in the next phase (Phase II), the study shifts to testing the drug in patients with the disease it is meant to treat.
Correct Answer is C
Explanation
A. The Drug Regulation and Reform Act focuses on expediting drug approval processes and does not specifically govern drug administration by nurses.
B. The FDA Amendments Act primarily expands the authority of the FDA over drug safety and post-marketing surveillance but does not directly regulate nursing drug administration.
C. Nurse Practice Acts (NPAs) are state laws that define the scope of nursing practice, including drug administration. These laws outline nurses' responsibilities, legal limitations, and requirements for safe medication administration.
D. The Controlled Substances Act regulates the manufacture, distribution, and classification of controlled substances but does not govern all aspects of drug administration by nurses.
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