A nurse is reviewing the classification and regulation of controlled substances with a group of nursing students. Which of the following statements by a student indicates an understanding of the topic?

"Schedule I drugs have no accepted medical use and a high potential for abuse."

"Schedule II drugs can be refilled up to five times within six months."

"Schedule III drugs have a lower potential for abuse than Schedule IV drugs."

"Schedule V drugs are available over-the-counter without a prescription."

Answer and Explanation

The Correct Answer is A

Correct answer: a) "Schedule I drugs have no accepted medical use and a high potential for abuse."

Rationale: Schedule I drugs, such as heroin, LSD, and ecstasy, are the most restricted category of controlled substances and have no currently accepted medical use in the United States. Schedule II drugs, such as morphine, oxycodone, and cocaine, have a high potential for abuse and can only be dispensed with a written prescription that cannot be refilled. Schedule III drugs, such as codeine, ketamine, and anabolic steroids, have a moderate potential for abuse and can be refilled up to five times within six months with a prescription. Schedule IV drugs, such as diazepam, alprazolam, and zolpidem, have a low potential for abuse and can also be refilled up to five times within six months with a prescription. Schedule V drugs, such as cough syrups with codeine, have the lowest potential for abuse and may be dispensed without a prescription under certain conditions.

Incorrect choices:
b) "Schedule II drugs can be refilled up to five times within six months.": This is incorrect as Schedule II drugs cannot be refilled.
c) "Schedule III drugs have a lower potential for abuse than Schedule IV drugs.": This is incorrect as Schedule III drugs have a higher potential for abuse than Schedule IV drugs.
d) "Schedule V drugs are available over-the-counter without a prescription.": This is incorrect as Schedule V drugs may require a prescription depending on the state law and the amount dispensed.

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Correct Answer is C

Explanation

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

Rationale: The first action that the nurse should take when using the nursing process is to assess the client. Assessing the client's vital signs and level of consciousness is essential to determine the severity of the overdose and the need for immediate interventions. The nurse should also monitor the client for signs of respiratory depression, cardiac arrhythmias, seizures, or other complications.

Incorrect choices:
a) Notify the health care provider and request an order for a urine drug screen.: This is an important action, but not the first one. The nurse should notify the health care provider and request an order for a urine drug screen after assessing the client and stabilizing their condition. A urine drug screen can help to identify the type and amount of drugs that the client has ingested and guide the treatment plan.

b) Administer naloxone as prescribed to reverse the effects of opioids.: This is an important action, but not the first one. The nurse should administer naloxone as prescribed to reverse the effects of opioids after assessing the client and confirming that they have signs of opioid toxicity, such as pinpoint pupils, decreased respiratory rate, and decreased level of consciousness. Naloxone is an opioid antagonist that can rapidly restore normal respiration and alertness in opioid overdose cases. However, naloxone has no effect on other types of drugs and may precipitate withdrawal symptoms in opioid-dependent clients.

d) Educate the client about the risks and consequences of drug abuse.: This is an important action, but not the first one. The nurse should educate the client about the risks and consequences of drug abuse after assessing the client and ensuring their safety and stability. The nurse should also provide emotional support and refer the client to appropriate resources for substance abuse treatment and recovery.

A. Check the expiration date of the drug B. Compare the drug label with the MAR C. Verify the client's identity using two identifiers D. Explain the purpose and side effects of the drug

Correct Answer is C

Explanation

Correct answer: c) Verify the client's identity using two identifiers

Rationale: The first action that the nurse should take before administering any medication is to verify the client's identity using two identifiers, such as name and date of birth, to ensure that the right medication is given to the right client. This is one of the six rights of medication administration that help prevent medication errors and promote client safety.

Incorrect choices:

a) Check the expiration date of the drug: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should check the expiration date after comparing the drug label with the MAR and before opening the drug container.

b) Compare the drug label with the MAR: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should compare the drug label with the MAR after verifying the client's identity and before checking the expiration date.

d) Explain the purpose and side effects of the drug: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should explain the purpose and side effects of the drug after checking the expiration date and before administering the drug.

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A nurse is reviewing the classification and regulation of controlled substances with a group of nursing students. Which of the following statements by a student indicates an understanding of the topic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is preparing to administer a prescription drug to a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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