A client who has attention-deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate, a controlled substance, by their psychiatrist. The client tells the nurse that they sometimes share their medication with their friends who also have ADHD but do not have a prescription. Which of the following statements should the nurse make?

"Sharing your medication with others is illegal and can result in serious consequences for you and your friends."

"Your medication is specifically tailored to your needs and may not be appropriate or safe for others."

"Your friends should see a psychiatrist if they have ADHD and need medication treatment."

All of the above.

Answer and Explanation

The Correct Answer is D

Correct answer: d) All of the above.
Rationale: The nurse should make all of these statements to discourage
the client from sharing their medication with others. Sharing controlled substances with others is illegal and can result in criminal charges, fines, or imprisonment for both parties. It can also cause harm to others who may have different medical conditions, allergies, or interactions with other medications. Methylphenidate is a stimulant that can cause adverse effects such as increased blood pressure, heart rate, anxiety, insomnia, and appetite suppression. It can also be addictive and abused by some people. Therefore, it should only be taken by a person who has a valid prescription and under the supervision of a psychiatrist who can monitor the dosage, effectiveness, and side effects.

Incorrect choices:
a) "Sharing your medication with others is illegal and can result in serious consequences for you and your friends.": This is correct but not comprehensive as it does not include other statements that are important for the client.
b) "Your medication is specifically tailored to your needs and may not be appropriate or safe for others.": This is correct but not comprehensive as it does not include other statements that are important for the client.
c) "Your friends should see a psychiatrist if they have ADHD and need medication treatment.": This is correct but not comprehensive as it does not include other statements that are important for the client.

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Correct Answer is B

Explanation

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.

A. Verify the client's identity using two identifiers before administering the medication. B. Document the administration of the medication on a separate controlled substance record. C. Count the remaining tablets of oxycodone with another nurse at the end of each shift D. All of the above.

Correct Answer is D

Explanation

Correct answer: d) All of the above.

Rationale: The nurse should follow all of these actions to ensure the safe and legal administration of controlled substances. These actions help prevent medication errors, diversion, and misuse of controlled substances.

Incorrect choices:
a) Verify the client's identity using two identifiers before administering the medication.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
b) Document the administration of the medication on a separate controlled substance record.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
c) Count the remaining tablets of oxycodone with another nurse at the end of each shift.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

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 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?

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?

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

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?