The nurse is preparing to administer lorazepam 1.5 mg IV to...

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?

A. Withdraw the medication into a syringe and label with the client’s name.
B. Ask another nurse to witness the medication being discarded.
C. Place the vial with the remainder of the medication into a locked drawer.
D. Throw the vial into the trash in the presence of another nurse.

Correct Answer: B

Rationale: Witnessed disposal ensures compliance.

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The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, 'Streptomycin 1 gram/25 mL'. How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 5

Rationale: 200 mg ÷ (1000 mg/25 mL) = 5 mL.

A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client’s understanding of self-care at home?

A. Have the client demonstrate prescribed wound care.
B. After each instruction, ask if the client understands.
C. Have an interpreter repeat the wound care instructions.
D. Provide written instructions in the client’s native language.

Correct Answer: A

Rationale: Demonstration confirms skill.

The nurse is teaching a client about the use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

A. Wears gloves to dispose of the needle and syringe.
B. Dons a face mask before administering the medication.
C. Washes hands before handling the needle and syringe.
D. Removes the needle before discarding used syringes.

Correct Answer: C

Rationale: Hand hygiene prevents infection.

The nurse in a skilled nursing facility observes a colleague leaving printed electronic medical record (EMR) copies of a client unattended on a countertop. Which action should the nurse implement?

A. Send an email to facility administrators reporting the action.
B. Dispose of the copies and continue with client care assignments.
C. Warn the colleague that copying health information is unlawful.
D. Communicate the colleague’s activities to the unit charge nurse.

Correct Answer: D

Rationale: Reporting ensures intervention.

The client had a large, loose stool.

Vital signs: Temperature 98.7°F (37°C) orally. Heart rate 73 beats/minute.

Blood pressure 144/82 mm Hg. The client had a large, loose stool. The client had a large, loose stool.

Place the client on contact precautions.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take, and two parameters to assess the client’s progress.

A. Collect stool for culture, Start a high-fiber diet., Administer an oral steroid.,Make the client NPO
B. Secretory diarrhea.Steatorrhea,Motility diarrhea,Osmotic diarrhea
C. Heart rate, Serum potassium,Respiratory rate, Urine sodium

Correct Answer:

Rationale: Secretory diarrhea fits; stool culture and NPO address infection; heart rate and potassium monitor dehydration.