The nurse is administering a controlled substance that falls into the category of Schedule I. Which of the following displays the appropriate abuse potential for Schedule I drugs?

Lowest abuse potential

Moderate abuse potential

Mild abuse potential

Highest abuse potential

Answer and Explanation

The Correct Answer is D

A: Schedule I drugs do not have the lowest abuse potential. They are classified as having the highest potential for abuse.

B: Schedule I drugs do not have a moderate abuse potential. They are considered to have a high potential for abuse and no accepted medical use.

C: Schedule I drugs do not have a mild abuse potential. They are classified as having the highest potential for abuse.

D: Schedule I drugs have the highest abuse potential and are not accepted for medical use in the United States. Examples include heroin and LSD.

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Correct Answer is A

Explanation

A: Checking the display on the PCA pump is the first action the nurse should take. This ensures that the pump is functioning correctly and delivering the prescribed dose of medication. It helps identify any technical issues that may be affecting pain control.

B: Obtaining an order for another pain medication for breakthrough pain is important if the current regimen is insufficient. However, this should follow the initial assessment of the PCA pump’s functionality.

C: Administering a bolus of medication may be necessary if the client is experiencing severe pain, but it should be done after confirming that the PCA pump is working correctly.

D: Encouraging the client to administer a demand dose is appropriate if the PCA pump is functioning correctly. However, the nurse should first verify that the pump is delivering the medication as prescribed.

A. Continuous output from the stoma B. Presence of blood in the stool C. Malodorous stool D. Liquid consistency of stool

Correct Answer is B

Explanation

A: Continuous output from the stoma is expected in patients with an ileostomy. The stoma continuously produces waste, and this is a normal finding.

B: The presence of blood in the stool is an abnormal finding and should be reported immediately. It could indicate bleeding within the gastrointestinal tract, which requires prompt medical evaluation and intervention.

C: Malodorous stool is common with an ileostomy and is not typically a cause for immediate concern. However, if the odor is unusually strong or different, it may warrant further investigation.

D: Liquid consistency of stool is normal for an ileostomy, as the large intestine, which absorbs water, is bypassed. This is not an immediate concern unless there are other symptoms present.

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The nurse is administering a controlled substance that falls into the category of Schedule I. Which of the following displays the appropriate abuse potential for Schedule I drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client is receiving hydromorphone HCL via PCA pump and reports continuous pain of 6 on a scale from 0 to 10. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?

Correct Answer is B

Explanation

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