The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
Give the medication.
Return the medication to the pharmacy.
Discard the medication.
Notify the provider.
The Correct Answer is C
A. Giving the medication that is expired poses a risk to the client, as the safety and efficacy of the medication cannot be guaranteed past its expiration date.
B. Returning the medication to the pharmacy may not be feasible in this scenario; proper disposal is generally the nurse's responsibility for expired medications.
C. Discarding the medication is the appropriate action to ensure client safety, as expired medications should not be administered.
D. Notifying the provider is unnecessary in this case; the nurse's responsibility is to discard the expired medication and prepare a new dose that is within its expiration date.
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Correct Answer is A
Explanation
A. A private, negative-pressure room is essential for clients suspected of having tuberculosis (TB) to prevent airborne transmission. This setup helps contain airborne pathogens and protects other clients and staff.
B. A private, positive-pressure room is inappropriate for this situation because it is designed for immunocompromised patients, not those with potential infectious diseases.
C. A semi-private, negative-pressure room would not provide adequate isolation for a client with suspected TB, increasing the risk of transmission to another patient.
D. A semi-private, positive-pressure room is also inappropriate, as it poses a risk of spreading infectious agents to others in the facility.
Correct Answer is A
Explanation
A. Washing the area of the puncture thoroughly with soap and water is the first and most immediate action to reduce the risk of infection and transmission of bloodborne pathogens. This should be done as soon as possible after the injury.
B. Going to employee health services is necessary but should follow immediate first aid measures.
C. Completing an incident report is important for documentation and accountability but is not the immediate priority after a needle-stick injury.
D. Reporting the incident to the charge nurse is necessary for proper protocol but does not take precedence over ensuring the injury is properly cleaned first.