A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:
Ask another licensed nurse to check the dose.
Sign out the drug on a narcotic control inventory sheet.
Leave the medication in a cup at the bedside.
Tell the patient to drink extra water with the pill.
The Correct Answer is B
Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.
Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.
Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.
Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.
Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.
Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.
Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.
Correct Answer is A
Explanation
Choice A reason: An applicator ensures precise vaginal delivery; it maintains sterility, controls depth, and optimizes medication contact with mucosa for effective absorption.
Choice B reason: Irrigation kits are for flushing; they’re inappropriate for solid or cream medications, risking uneven distribution or mucosal irritation in the canal.
Choice C reason: A finger risks contamination; without sterile technique, it introduces bacteria, and depth control is poor compared to a designed applicator.
Choice D reason: Gauze pads can’t deliver deeply; medication may stick or distribute poorly, reducing efficacy and comfort in vaginal administration settings.
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