The nurse is caring for a post-surgical patient who was prescribed controlled substances classified schedule IV substances as:

having no currently accepted medical use and high potential for abuse

having a high potential for psychological or physical dependence

having a moderate potential for psychological or physical dependence

having a low potential for psychological or physical dependence

Answer and Explanation

The Correct Answer is D

A. Having no currently accepted medical use and high potential for abuse: Describes Schedule I drugs (e.g., heroin, LSD, ecstasy).

B. Having a high potential for psychological or physical dependence: Describes Schedule II drugs (e.g., morphine, oxycodone).

C. Having a moderate potential for psychological or physical dependence: Describes Schedule III drugs (e.g., codeine-containing medications).

D. Having a low potential for psychological or physical dependence: Schedule IV drugs (e.g., benzodiazepines like diazepam and tramadol) have a low potential for abuse and dependence compared to Schedule I-III substances.

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Correct Answer is A

Explanation

A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.

B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.

C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.

D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.

A. “Most allergic responses include hives or a rash." B. “Common allergic reactions made fever and diarrhea.” C. “You might feel cold and sweaty of you are having an allergic reaction.” D. “Nausea and vomiting usually mean you are allergic to the medication.”

Correct Answer is A

Explanation

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

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The nurse is caring for a post-surgical patient who was prescribed controlled substances classified schedule IV substances as:

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