A nurse is caring for a client who has been prescribed a Schedule III controlled substance for moderate pain. Which of the following actions should the nurse take when administering this medication?
Obtain a written prescription from the provider every time
Count and document the remaining supply of medication
Dispose of any unused medication in a sharps container
Administer the medication only by intravenous route
The Correct Answer is B
Correct answer: b) Count and document the remaining supply of medication
Rationale: Schedule III controlled substances are drugs that have a moderate potential for abuse and addiction and are subject to moderate regulations by the DEA. The nurse should count and document the remaining supply of medication every time they administer a Schedule III controlled substance to ensure accuracy and prevent diversion.
Incorrect choices:
a) Obtain a written prescription from the provider every time: This is not required for Schedule III controlled substances, as they can be refilled up to five times within six months by phone or fax. However, this is required for Schedule II controlled substances, which have a higher potential for abuse and addiction.
c) Dispose of any unused medication in a sharps container: This is not an appropriate way to dispose of any unused medication, as it can pose a risk of injury or infection to others. The nurse should dispose of any unused medication by using a DEA-approved disposal company or following the facility's policy.
d) Administer the medication only by intravenous route: This is not required for Schedule III controlled substances, as they can be administered by various routes depending on the formulation and indication. However, some Schedule II controlled substances, such as morphine or fentanyl, are administered only by intravenous route for acute pain management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct answer: d) "I should use over-the-counter drugs instead of prescription drugs if I have pain."
Rationale: This statement indicates a need for further teaching, as over-the-counter drugs can also be abused or misused and cause harm to the client. The client should consult with their provider before taking any medications for pain and follow the directions carefully. The client should also use nonpharmacological methods for pain relief, such as relaxation techniques, massage, or ice packs.
Incorrect choices:
a) "I should avoid situations or people that trigger my urge to use drugs.": This statement indicates an understanding of the teaching, as avoiding triggers is one of the prevention and education strategies for substance abuse.
b) "I should seek professional help if I have signs of depression or anxiety.": This statement indicates an understanding of the teaching, as seeking professional help is one of the prevention and education strategies for substance abuse. Depression and anxiety are common co-occurring disorders with substance abuse and can increase the risk of relapse.
c) "I should join a support group or a 12-step program to stay sober.": This statement indicates an understanding of the teaching, as joining a support group or a 12-step program is one of the prevention and education strategies for substance abuse. Support groups and 12-step programs can provide peer support, guidance, and accountability for clients who are recovering from substance abuse.
Correct Answer is D
Explanation
Correct answer: d) All of the above.
Rationale: Schedule II drugs are highly regulated by the federal Controlled Substances Act and require a new written prescription for each refill. Morphine sulfate can cause nausea and vomiting, so taking it with food may help prevent these adverse effects. Morphine sulfate is also a potential drug of abuse and diversion, so it should be stored securely and disposed of properly when no longer needed.
Incorrect choices:
a) "You will need a new written prescription from your provider every time you need a refill.": This is correct, but not the only information the nurse should include in the teaching.
b) "You can take this medication with or without food, depending on your preference.": This is correct, but not the only information the nurse should include in the teaching.
c) "You should store this medication in a locked cabinet away from children and pets.": This is correct, but not the only information the nurse should include in the teaching.
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