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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Neuroleptic malignant syndrome: Causes fever, muscle rigidity, autonomic instability, and altered mental status-not dry mouth or blurry vision.
B. Teratogenicity: Refers to birth defects from medications taken during pregnancy.
C. Parkinson-like syndrome: Involves tremors, muscle rigidity, and bradykinesia-not dry mouth or blurry vision.
D. Anticholinergic effects: Symptoms of dry mouth, blurred vision, and urinary retention are classic signs of anticholinergic side effects caused by medications like antihistamines, tricyclic antidepressants, and some antipsychotics.
Correct Answer is B
Explanation
B. Liver: Grapefruit juice inhibits CYP3A4 enzymes in the liver, which metabolize many drugs (e.g., statins, calcium channel blockers). This inhibition can lead to increased drug levels and toxicity.
A. Gall bladder – The gall bladder stores bile but does not metabolize drugs.
C. Kidney – The kidneys excrete drugs, but grapefruit juice does not significantly impact renal metabolism.
D. Small bowel – Some drug metabolism occurs in the intestines, but grapefruit juice primarily affects liver enzymes.
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