The nurse is preparing to administer 8 mg of a 10 mg dose of an ...

[ghost!]

The nurse is preparing to administer 8 mg of a 10 mg dose of an intravenous narcotic. Which of the following statements made by the nurse best reflects an understanding of the appropriate manner to handle this situation?
 
  1. I will sign out the narcotic before the end-of-shift count is completed.
  2. I need to get another RN to witness the waste and sign the narcotic sheet.
  3. Narcotics are expensive, so it makes sense to save the unused portion for the next time they need the drug.
  4. I always make sure someone sees me place the unused portion on the narcotic in the sharps container.

Question 2

The nurse is administering an injection at the ventrogluteal site. On aspiration, the nurse notices that there is blood in the syringe. The nurse should:
 
  1. Inject the medication
  2. Pull the needle back slightly and inject the medication
  3. Move the skin to the side and inject the medication slowly
  4. Discontinue the injection and prepare the medication again

[nhea]

Answer to Question 1

ANS: 2
If a nurse gives only part of a premeasured dose of a controlled substance, a second nurse wit-nesses disposal of the unused portion. If paper records are kept, both nurses sign their names on the form. Do not place wasted portions in the sharps containers. Instead, flush wasted portions of tablets down the toilet and wash liquids down the sink. Unused portions of narcotics must not be saved.

Answer to Question 2

ANS: 4
If blood appears in the syringe, the nurse should remove the needle and dispose of the medica-tion and syringe properly. The nurse should then prepare another dose of medication for admin-istration. The medication should not be injected, as it would be entering a blood vessel. The nee-dle should not be pulled back slightly and then injected, as there is no assurance of the needle being out of the vessel. The medication should not be injected, because there is no assurance of the needle being out of the vessel.

[ghost!]

TYSM

[jackie]

Excellent