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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.

Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.

Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.

Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.

A. Toxic effect B. Drug allergy C. Idiosyncrasy D. Drug tolerance

Correct Answer is C

Explanation

Choice A reason: Toxic effects involve overdose symptoms like coma; staying awake isn’t toxicity, as Nembutal’s sedative intent is reversed, not exaggerated, in this reaction.

Choice B reason: Drug allergy causes immune responses (e.g., rash); insomnia isn’t allergic, but a paradoxical effect, differing from hypersensitivity reactions entirely.

Choice C reason: Idiosyncrasy is an unexpected reaction; Nembutal, a barbiturate, should sedate, but wakefulness is an abnormal, individual response, fitting this category precisely.

Choice D reason: Tolerance reduces efficacy over time; this acute, opposite reaction to a sedative isn’t tolerance, but an immediate, unpredictable drug response.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

Correct Answer is C

Explanation

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

Correct Answer is C

Explanation

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

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