Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

Remove the syringe, discard the medication, and start over.

Give the medication as ordered.

Remove the syringe, change the needle, and give the medication.

Omit the dose.

Answer and Explanation

The Correct Answer is A

Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.

Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.

Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.

Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.

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Correct Answer is B

Explanation

Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.

Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.

Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.

Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.

A. 1 tablet B. 2 tablets C. 3 tablets D. 4 tablets

Correct Answer is B

Explanation

Choice A reason: One 5-mg tablet delivers 5 mg; this underdoses the 10 mg ordered, reducing salivation stimulation needed for dry eye relief.

Choice B reason: Two 5-mg tablets equal 10 mg; this matches the order, ensuring therapeutic cholinergic effect to increase tear production effectively.

Choice C reason: Three tablets (15 mg) overdose; excess pilocarpine risks side effects (e.g., sweating, bradycardia) without added benefit for dry eyes.

Choice D reason: Four tablets (20 mg) far exceed the dose; this could cause severe cholinergic toxicity, including respiratory distress, outweighing therapeutic intent.

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Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

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Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?