What methods are used to properly discard narcotics? (Select all that apply.)
a. Placing the syringe of narcotics in the sharps container
b. Washing liquids down the sink
c. Flushing tablets down the toilet
d. Returning the open tablet to the medication dispenser
e. Locking the narcotic in a secure cabinet
f. Throwing tablets into the trash
B, C
Proper disposal of wasted narcotics involves washing liquids down the sink and tablets down the toilet. This prevents others from accessing the wasted narcotics. Placing the syringe in the sharps container is not recommended; it could be accessed inappropriately. Once a medication is opened, it cannot be returned to the medication dispenser and must be wasted. Locking the narcotics in a secure cabinet is not a proper method of disposal; they could be accessed by someone other than the nurse. Throwing tablets into the trash is unsafe because pills may be recovered by inappropriate persons.
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The nurse percusses the client's abdomen. Which piece of information accurately reflects that tympany is present?
1. "The sound is low-pitched, loud, and hollow-sounding." 2. "It is a high-pitched, soft sound that doesn't last very long." 3. "The sound is very loud and has a low tone. The sound has a long duration." 4. "It sounds like a drum, is loud, and high-pitched."
A 40-year-old man who uses heroin intravenously was diagnosed with hepatitis C (HCV) 1 year ago and is now considered to have chronic viral hepatitis. Which of the following statements by the client to his care provider would warrant correction?
A) "I know the medications to treat this aren't fantastic, but at least there are some options for controlling the virus." B) "It's at least a bit reassuring that my liver isn't undergoing damage when I'm not experiencing symptoms." C) "Even though I'm sick, at least I won't feel sick most of the time." D) "I'm not looking forward to all the side effects of the drug treatments for my HCV, but I hope I don't end up needing a liver transplant."
The individual admitted to the hospital who is at the greatest risk for acquiring a hospital-acquired infection is
1. A 2-month-old infant with a head injury from being dropped. 2. A 10-year-old with a hairline fracture from sliding into third base. 3. A 6-year-old who fell off the monkey bars and has three broken ribs. 4. A 17-year-old with an elevated blood alcohol level.
A preterm infant is diagnosed with necrotizing enterocolitis. The parents ask the nurse to explain this condition. Accurate information would include:
a. Intravenous feedings will be used for a while to permit the intestines to heal. b. The feeding tube could have damaged the stomach lining. c. The infant formula may have been too rich for the baby's system. d. This is a mild infection that is easily treated with antibiotics.