A client is prescribed morphine sulfate, a Schedule II medication, for severe postoperative pain. The nurse knows that this medication has which of the following characteristics?

It can be refilled up to five times within six months.

It can be prescribed by telephone or fax in an emergency.

It can be obtained without a prescription for medical use.

It can be dispensed by any healthcare provider.

Answer and Explanation

The Correct Answer is B

Correct answer: b) It can be prescribed by telephone or fax in an emergency.

Rationale: Schedule II medications are those with a high potential for abuse and dependence, but have accepted medical uses. They require a written prescription from a licensed prescriber, except in an emergency situation when a telephone or fax order is allowed. However, the written prescription must follow within 72 hours. Schedule II medications cannot be refilled; a new prescription is required for each dispensing.

Incorrect choices:

a) It can be refilled up to five times within six months.: This is true for Schedule III and IV medications, not Schedule II.

c) It can be obtained without a prescription for medical use.: This is true for Schedule V medications, not Schedule II.

d) It can be dispensed by any healthcare provider.: Only licensed prescribers with a DEA number can prescribe controlled substances.

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Correct Answer is A

Explanation

Correct answer: a) Grapefruit juice

Rationale: Grapefruit juice can inhibit the metabolism of diazepam, a benzodiazepine that acts on the central nervous system to reduce anxiety and induce sedation. This can increase the blood levels and effects of diazepam, which can lead to excessive sedation, respiratory depression, and overdose. The client should avoid grapefruit juice and other citrus fruits while taking this medication.

Incorrect choices:

b) Milk: Milk does not interact with diazepam and can be consumed safely while taking this medication.

c) Coffee: Coffee does not interact with diazepam and can be consumed safely while taking this medication. However, caffeine can have a stimulant effect that may counteract the sedative effect of diazepam.

d) Water: Water does not interact with diazepam and can be consumed safely while taking this medication. In fact, the client should drink plenty of water to prevent dehydration and maintain renal function.

A. "You should not take more than the prescribed dose because it can cause dependence and withdrawal symptoms." B. "You should talk to your provider about changing your medication because zolpidem is not effective for you." C. "You should try some nonpharmacological methods to improve your sleep quality, such as relaxation techniques and avoiding caffeine." D. All of the above.

Correct Answer is D

Explanation

Correct answer: d) All of the above.
Rationale: The nurse should provide all of these responses to educate the client about the risks and alternatives of taking zolpidem, a controlled substance. Taking more than the prescribed dose can lead to physical and psychological dependence, tolerance, and withdrawal symptoms, which can be dangerous and unpleasant. Changing the medication may be necessary if zolpidem is not effective for the client's insomnia, as there may be other underlying causes or better options for treatment. Trying some nonpharmacological methods can also help improve sleep quality and reduce reliance on medications.

Incorrect choices:
a) "You should not take more than the prescribed dose because it can cause dependence and withdrawal symptoms.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.
b) "You should talk to your provider about changing your medication because zolpidem is not effective for you.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.
c) "You should try some nonpharmacological methods to improve your sleep quality, such as relaxation techniques and avoiding caffeine.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.

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A client is prescribed morphine sulfate, a Schedule II medication, for severe postoperative pain. The nurse knows that this medication has which of the following characteristics?

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Naxlex Comprehensive Predictor Exams

A client is prescribed diazepam, a Schedule IV medication, for anxiety. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Correct Answer is A

Explanation

A client who has insomnia is prescribed zolpidem, a controlled substance, by their primary care provider. The client tells the nurse that they have been taking more than the prescribed dose because they still have trouble falling asleep. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is reviewing the medication list of a client who has chronic pain and takes oxycodone, a Schedule II medication, on a regular basis. The nurse should monitor the client for which of the following adverse effects of oxycodone?

A client is admitted to the emergency department with signs of opioid overdose, such as pinpoint pupils, respiratory depression, and altered mental status. The nurse anticipates that the prescriber will order which of the following medications to reverse the effects of the opioid?

A nurse is caring for a client who has schizophrenia and takes clozapine, a Schedule V medication. The nurse should monitor the client for which of the following serious adverse effects of clozapine?

A nurse is reviewing the medication list of a client who has chronic pain and is prescribed oxycodone, a controlled substance. Which of the following actions should the nurse take?

A client is prescribed morphine sulfate, a Schedule II medication, for severe postoperative pain. The nurse knows that this medication has which of the following characteristics?

A nurse is teaching a client who has insomnia about zolpidem, a Schedule IV medication. The nurse should include which of the following information in the teaching?