A nurse is preparing to administer morphine sulfate, a Schedule II drug, to a client who has acute pain. Which of the following actions should the nurse take when obtaining the medication from the automated dispensing system?

Enter the client's name and date of birth

Scan the barcode on the medication label.

Enter the prescriber's name and license number.

Scan their own identification badge.

Answer and Explanation

The Correct Answer is D

Correct answer: d) Scan their own identification badge.

Rationale: Scanning their own identification badge is a required step when obtaining any medication from the automated dispensing system, especially for controlled substances, as it ensures accountability and security.

Incorrect choices:

a) Enter the client's name and date of birth.: This is not a required step when obtaining medication from the automated dispensing system, but it is a required step when administering medication to the client to verify their identity.

b) Scan the barcode on the medication label.: This is not a required step when obtaining medication from the automated dispensing system, but it is a required step when administering medication to the client to verify its accuracy.

c) Enter the prescriber's name and license number.: This is not a required step when obtaining medication from the automated dispensing system, but it may be required when documenting medication administration in some facilities.

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Correct Answer is D

Explanation

Correct answer: d) "Methadone will block the effects of opioids if I relapse."

Rationale: Methadone is an opioid agonist that blocks the effects of opioids by occupying their receptors and preventing them from binding. This reduces the risk of overdose and relapse by eliminating the reward or pleasure of using opioids.

Incorrect choices:

a) "Methadone will help me stop craving opioids.": This is incorrect as methadone does not eliminate cravings for opioids, but it reduces them by preventing withdrawal symptoms.

b) "Methadone will make me feel euphoric like opioids do.": This is incorrect as methadone does not produce euphoria or sedation like opioids do, but it maintains a steady state of opioid tolerance and dependence.

c) "Methadone will cause me to have withdrawal symptoms when I stop taking it.": This is incorrect as methadone prevents withdrawal symptoms by providing a long-acting opioid substitute. However, methadone itself can cause dependence and withdrawal if discontinued abruptly, so it should be tapered off gradually under medical supervision.

A. Assess the client's vital signs and level of consciousness. B. Administer the prescribed medication for withdrawal symptoms. C. Provide a calm and supportive environment for the client D. Refer the client to a substance abuse counselor or program

Correct Answer is A

Explanation

Correct answer: a) Assess the client's vital signs and level of consciousness.

Rationale: According to the priority-setting framework, the nurse should first address the client's physiological needs before addressing their psychological or social needs. Therefore, the nurse should first assess the client's vital signs and level of consciousness, which can be altered by withdrawal symptoms, and intervene accordingly.

Incorrect choices:

b) Administer the prescribed medication for withdrawal symptoms.: This is an important action but not the first one as the nurse should first assess the client's condition and determine if they need any immediate interventions.

c) Provide a calm and supportive environment for the client.: This is an important action but not the first one as it addresses the client's psychological needs, which are lower in priority than their physiological needs.

d) Refer the client to a substance abuse counselor or program.: This is an important action but not the first one as it addresses the client's social needs, which are lower in priority than their physiological or psychological needs.

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A nurse is preparing to administer morphine sulfate, a Schedule II drug, to a client who has acute pain. Which of the following actions should the nurse take when obtaining the medication from the automated dispensing system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of clients who are receiving methadone therapy for opioid dependence. Which of the following statements by one of the clients indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has a history of substance use disorder and is experiencing withdrawal symptoms. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is reviewing the medication list of a client who has chronic pain and is prescribed oxycodone. Which of the following actions should the nurse take to prevent the diversion of controlled substances?

A nurse is preparing to administer morphine sulfate, a Schedule II drug, to a client who has acute pain. Which of the following actions should the nurse take when obtaining the medication from the automated dispensing system?

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A nurse is reviewing the electronic health record of a client who is prescribed methylphenidate, a stimulant. Which of the following findings should alert the nurse to a possible contraindication for this medication?