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 A

Explanation

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

A. Verbally tell the patient about what to report to the doctor. B. Ensure the medications are secured with childproof caps. C. Arrange the medication in a user-friendly pill organizer. D. Leave outdated medications in the medicine cabinet for future use.

Correct Answer is C

Explanation

Choice A reason: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence.

Choice B reason: Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration.

Choice C reason: A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient.

Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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