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 D
Explanation
Correct answer: d) Schedule IV
Rationale: Diazepam is a benzodiazepine 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.
Incorrect choices:
a) Schedule I: Schedule I substances have no accepted medical use and a high potential for abuse and dependence. Examples include heroin, LSD, and ecstasy.
b) Schedule II: Schedule II substances have a high potential for abuse and dependence but have some accepted medical uses with severe restrictions. Examples include morphine, oxycodone, and cocaine.
c) Schedule III: Schedule III substances have a moderate potential for abuse and dependence but have accepted medical uses. Examples include codeine, ketamine, and anabolic steroids.
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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