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What should the nurse do with an injection of 2 mL of Demerol that the patient has refused?
- A. Independently waste the drug in a secure place.
- B. Record in the narcotic log that the drug was wasted.
- C. Chart in the patient's record the reason the medication was refused.
- D. Get any staff member to sign the narcotic log as witness to the drug being wasted.
- E. Confirm the count is correct on the narcotic log.
Correct Answer: B,C,E
Rationale: When a controlled substance is wasted, the actual wasting must be witnessed by a licensed person, the narcotic log must be signed by both the nurse wasting the drug and the witness, and the narcotic count is confirmed by both people.
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When giving a tubal medication the nurse should flush the tubing with 30 to 50 __ of water.
Correct Answer: mL
Rationale: The water will enhance the absorption of the drug and also clear the tubing.
The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15. The nurse should set the drop control to deliver __ gtts/min.
Correct Answer: 3
Rationale: 100 mL divided by 8 = 12.5 mL/h; (12.5 mL/h ? 15 gtts/mL) ÷ 60 min/h ? 3 gtts/min.
What important principle should be taken to prevent medication errors?
- A. Placing an unlabeled syringe on the medication cart
- B. Following the six rights of medication administration
- C. Leaving a medication with the patient only when family is there
- D. Always charting medications before the end of the shift
Correct Answer: B
Rationale: Following the six rights ensures excellent drug administration practice. Unlabeled syringes should never be left on a medication cart. Medications should never be left in a patient's room. Medications should be charted immediately after they are administered.
A 35-lb child is to receive an IM medication. The average adult dose is 75 mg. Using the Clark rule what dosage should the nurse administer?
- A. 30.5 mg
- B. 25.5 mg
- C. 20.5 mg
- D. 17.5 mg
Correct Answer: D
Rationale: [Weight of child in pounds ÷ 150] ? average adult dose = child's dose.
What is the main organ that inactivates and metabolizes drugs?
- A. Spleen
- B. Liver
- C. Lungs
- D. Pancreas
Correct Answer: B
Rationale: The liver is the main organ that inactivates and metabolizes drugs.