A nurse in a provider's office is responding to a newly licensed nurse about the Controlled Substance Act.
The nurse should state that morphine is categorized as which of the following?
Schedule II.
Schedule III.
Schedule IV.
Schedule V.
The Correct Answer is A
Choice A rationale
Morphine is classified as a Schedule II drug under the Controlled Substance Act. These substances have high abuse potential but accepted medical uses. Strict regulations on prescribing and dispensing help mitigate addiction risks while enabling pain management.
Choice B rationale
Schedule III drugs have lower abuse potential than Schedule II, such as anabolic steroids. Morphine’s classification reflects greater concern for dependency risks, making this categorization inaccurate given its pharmacological profile and misuse statistics.
Choice C rationale
Schedule IV substances, like benzodiazepines, pose even lower dependency risks. Morphine’s high potential for abuse makes it inappropriate to group with these drugs, highlighting its place in the more tightly regulated Schedule II category.
Choice D rationale
Schedule V includes medications with the least potential for abuse, like cough preparations containing small amounts of codeine. Morphine’s analgesic potency and risk profile far exceed those of Schedule V drugs, underscoring the inaccuracy of this classification.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Documenting the doubled dose in the medical record ensures transparency and provides critical information for continuity of care. Accurate documentation allows the healthcare team to monitor the client for potential adverse effects, supporting accountability and preventing recurrence of medication errors.
Choice B rationale
Reporting the incident to the pharmacy manager addresses systemic issues, such as procedural errors or staff education needs, to prevent similar occurrences. However, this action does not directly prioritize client safety or care in response to the doubled dose.
Choice C rationale
Placing a copy of the incident report in the client’s record breaches confidentiality and violates facility policy. Incident reports are administrative tools to address safety concerns, not a part of the client’s medical record.
Choice D rationale
Contacting the nurse from the previous shift might provide insight into the error’s cause but does not address the immediate need to ensure client safety or document the error. This step is secondary to accurate record-keeping and reporting.
Correct Answer is B
Explanation
Choice A rationale
Countersigning the prescription within 72 hours is a legal requirement but does not directly verify the accuracy of the prescription during a telephone communication.
Choice B rationale
Verifying the medication name and purpose ensures accurate understanding and administration, reducing the risk of medication errors and adverse outcomes. This step is critical for patient safety.
Choice C rationale
Spelling out “B-I-D” is unnecessary and does not improve clarity. It is more effective to confirm the intended schedule “twice per day” to avoid misunderstandings.
Choice D rationale
Confirming the provider’s license number is not required during routine telephone orders and may distract from more important verifications for patient safety.
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