The nurse is preparing medication that is packaged in an ampule. Which are appropriate nursing actions when preparing this medication?
1. Using a filter needle when administering the injection to the client
2. Using gauze when opening the ampule
3. Tapping the neck of the ampule to drop all medication into the body of the ampule prior to opening it
4. Checking the expiration date on the ampule
5. Wiping the container with an antimicrobial prior to opening the ampule
2, 3, 4, 5
Rationale 1: Although the nurse will use a filter needle when withdrawing the medication from the ampule, this will be exchanged for a needle prior to injecting the medication.
Rationale 2: Appropriate nursing actions when preparing a medication from an ampule include using gauze when opening the ampule to prevent accidental laceration of the nurse's finger.
Rationale 3: Appropriate nursing actions when preparing a medication from an ampule include tapping the neck of the ampule in order to clear the neck of all medication to prevent losing some when the ampule is opened.
Rationale 4: Appropriate nursing actions when preparing a medication from an ampule include checking the expiration date on the ampule to be sure the medication is not expired.
Rationale 5: Appropriate nursing actions when preparing a medication from an ampule include wiping the outside of the container with an antimicrobial prior to opening in order to prevent contamination of the fluid once the ampule is opened.
Global Rationale: Appropriate nursing actions when preparing a medication from an ampule include using gauze when opening the ampule to prevent accidental laceration of the nurse's finger; tapping the neck of the ampule in order to clear the neck of all medication to prevent losing some when the ampule is opened; checking the expiration date on the ampule to be sure the medication is not expired; and wiping the outside of the container with an antimicrobial prior to opening in order to prevent contamination of the fluid once the ampule is opened. Although the nurse will use a filter needle when withdrawing the medication from the ampule, this will be exchanged for a needle prior to injecting the medication.
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