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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A living will does not need to be renewed with each hospitalization unless explicitly required. A living will documents preferences for medical care during terminal or incapacitated states, and its validity persists unless revoked or updated by the client.
Choice B rationale
A living will allows individuals to specify medical treatments they want or do not want if terminally ill or incapacitated, reflecting their autonomy and preferences for end-of-life care in adherence to legal and ethical guidelines.
Choice C rationale
A health care proxy does not mandate appointing a relative. Individuals may designate anyone they trust to make medical decisions on their behalf, promoting autonomy and ensuring their values are respected if they become incapacitated.
Choice D rationale
Advance directives can be changed at any time to reflect current preferences. Clients may update their directives to ensure alignment with their evolving health care goals, providing flexibility in care planning.
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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