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 C
Explanation
Choice A reason: Topical applies to skin or mucous surfaces broadly; gum/jaw placement is specific to buccal, not the general external or mucosal topical category.
Choice B reason: Oral means swallowed; buccal drugs stay in the mouth for absorption, avoiding the digestive tract, making this an incorrect route classification.
Choice C reason: Buccal involves placement between gum and cheek; it allows direct mucosal absorption into the bloodstream, bypassing first-pass metabolism effectively.
Choice D reason: Sublingual is under the tongue; gum/jaw specifies buccal, as sublingual targets a different oral site with distinct absorption dynamics.
Correct Answer is D
Explanation
Choice A reason: Retailers use trade or generic names; trade isn’t exclusive here, as generics are sold too, making this a shared rather than unique trait.
Choice B reason: Chemical names define molecular structure (e.g., acetaminophen); trade names (e.g., Tylenol) are brand-specific, not tied to chemistry recognition.
Choice C reason: Orders use trade or generic names (e.g., Zestril or lisinopril); trade isn’t the only option, as generics are equally valid in prescriptions.
Choice D reason: Trade names are trademarked (e.g., Viagra); this legal protection distinguishes them from generic or chemical names, ensuring brand exclusivity.
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