A nurse is reviewing the documentation of a client who has been prescribed a Schedule IV controlled substance for anxiety. Which of the following entries in the medication administration record (MAR) requires correction?

Correct answer: a) "You should keep your medication in its original container with the label attached."

Rationale: Keeping the medication in its original container with the label attached helps to prevent errors, confusion, misuse, or diversion of the medication. The label also provides important information about the medication name, dosage, instructions, expiration date, and prescriber.

Incorrect choices:
b) "You should share your medication with your family members if they have similar symptoms.": This is incorrect as sharing prescription medication with others is illegal and dangerous. Prescription medication should only be taken by the person for whom it was prescribed and as directed by the prescriber.
c) "You should dispose of any unused or expired medication by flushing it down the toilet.": This is incorrect as flushing medication down the toilet can contaminate the water supply and harm the environment. Unused or expired medication should be disposed of properly according to the FDA guidelines or local regulations.
d) "You should stop taking your medication if you experience any side effects.": This is incorrect as stopping medication abruptly can cause adverse effects or worsen the condition. The client should report any side effects to the prescriber and follow their advice on how to manage them or whether to adjust or discontinue the medication.

Correct answer: b) "I should store my medication in a locked cabinet."

Rationale: Schedule II controlled substances have a high potential for abuse and addiction and are subject to strict regulations by the DEA. The client should store the medication in a secure place to prevent theft or misuse. The client cannot refill the prescription by calling the pharmacy but must obtain a new written prescription from the provider. The client should not share the medication with anyone else, as this is illegal and dangerous. The client should take the medication as prescribed and report any inadequate pain relief to the provider.

Incorrect choices:

a) "I can refill my prescription by calling the pharmacy.": This is incorrect as Schedule II drugs cannot be refilled by phone, but require a new written prescription.

c) "I can share my medication with my spouse if they have similar symptoms.": This is incorrect as sharing controlled substances is illegal and can cause harm to others.

d) "I should take more medication if my pain is not relieved.": This is incorrect as taking more medication than prescribed can lead to overdose, addiction, or adverse effects.