A nurse is reviewing the medication record of a client who has a history of substance use disorder and is prescribed methadone for opioid withdrawal. Which of the following actions should the nurse take to ensure the safe administration of this controlled substance? (Select all that apply.)
Verify the client's identity using two identifiers.
Document the dose and time of administration in the controlled substance log.
Count the remaining methadone tablets with another nurse before and after administration.
Dispose of any unused or expired methadone tablets in a sharps container.
Assess the client for signs of sedation and respiratory depression after administration.
Correct Answer : A,B,C,E
Correct answer: a, b, c, e
Rationale: Methadone is a Schedule II controlled substance that requires strict regulation and documentation. The nurse should verify the client's identity, document the dose and time of administration, count the remaining tablets with another nurse, and assess the client for adverse effects. Disposing of unused or expired methadone tablets in a sharps container is not appropriate as it poses a risk of needlestick injury and environmental contamination.
Incorrect choices:
d) Dispose of any unused or expired methadone tablets in a sharps container.: This is incorrect as it poses a risk of needlestick injury and environmental contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: a) Opioids
Rationale: Opioids are controlled substances that act on opioid receptors to produce analgesia, euphoria, sedation, and respiratory depression. Nausea and vomiting are common adverse effects of opioids due to stimulation of the chemoreceptor trigger zone in the brain.
Incorrect choices:
b) Stimulants: Stimulants are controlled substances that increase alertness, energy, mood, and heart rate. Nausea and vomiting are not typical adverse effects of stimulants.
c) Depressants: Depressants are controlled substances that reduce anxiety, agitation, and insomnia. Nausea and vomiting are not typical adverse effects of depressants.
d) Hallucinogens: Hallucinogens are controlled substances that alter perception, cognition, mood, and behavior. Nausea and vomiting are not typical adverse effects of hallucinogens.
Correct Answer is D
Explanation
Correct answer: d) Drowsiness
Rationale: Phenobarbital is a barbiturate that acts as a central nervous system depressant. It belongs to Schedule IV of controlled substances, which have a low potential for abuse and dependence compared to Schedule I, II, or III substances. Drowsiness is a common adverse effect of phenobarbital and other barbiturates.
Incorrect choices:
a) Hypertension: Hypertension is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause hypotension due to vasodilation.
b) Tachycardia: Tachycardia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause bradycardia due to decreased cardiac output.
c) Insomnia: Insomnia is not a typical adverse effect of phenobarbital or other barbiturates. Phenobarbital can cause sedation and sleepiness.
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