The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:
One nurse who is going off duty and one nurse coming on duty.
The unit's head nurse and a hospital pharmacist.
Everyone who has given or will be giving narcotics on both shifts.
One pharmacy technician and the unit's head or charge nurse.
The Correct Answer is A
Choice A reason: Narcotics are controlled substances requiring strict accountability; two nurses—one ending and one starting the shift—verify counts to ensure accuracy and prevent diversion per regulatory standards.
Choice B reason: The head nurse and pharmacist may oversee inventory, but shift change counts involve direct caregivers for real-time accuracy, not administrative staff, ensuring immediate responsibility and oversight.
Choice C reason: Involving all nurses from both shifts is impractical and unnecessary; it dilutes accountability and increases error risk, as only two are needed to confirm the count efficiently.
Choice D reason: Pharmacy technicians lack authority over unit narcotics, and the charge nurse alone doesn’t suffice; two nurses ensure a witnessed, reliable count per hospital policy and law.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.
Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.
Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.
Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.
Correct Answer is D
Explanation
Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.
Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.
Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.
Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.