The telephone triage nurse receives a call from a patient asking for a prescription for a narcotic to manage his surgical pain.
The nurse explains that narcotic prescriptions must be written and cannot be called in to the pharmacy.
The patient says, “Why are narcotics so difficult to get a prescription for?” What is the nurse’s best response?
The increase in the number of drug addicts has made the rules stricter.
Controlled substances like narcotics are regulated by the FDA and the DEA.
The Centers for Disease Control and Prevention regulates the use of controlled substances to reduce the risk of injury.
The Drug Enforcement Agency (DEA) determines the risk for addiction, and the Food and Drug Administration enforces this control.
The Correct Answer is B
Choice A rationale
While the increase in the number of drug addicts has led to stricter regulations, this is not the primary reason for the difficulty in obtaining narcotic prescriptions.
Choice B rationale
Controlled substances like narcotics are regulated by the FDA and the DEA to prevent misuse and ensure they are prescribed and dispensed safely and appropriately.
Choice C rationale
The Centers for Disease Control and Prevention (CDC) does not regulate controlled substances; they focus on public health issues and disease prevention.
Choice D rationale
The Drug Enforcement Agency (DEA) does determine the risk for addiction, but it is the FDA that enforces regulations related to controlled substances. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The rebound effect is typically associated with decongestants rather than topical nasal steroids. It occurs when nasal congestion worsens after stopping decongestant use.
Choice B rationale
Local ulceration is a potential adverse reaction to topical nasal steroids due to the localized irritation and thinning of the nasal mucosa with prolonged use.
Choice C rationale
Increased nasal drainage is not a common adverse reaction to topical nasal steroids. These medications typically reduce inflammation and decrease nasal drainage.
Choice D rationale
Suppression of healing is not an adverse reaction associated with topical nasal steroids. These drugs are more likely to reduce inflammation and promote healing of the nasal mucosa.
Correct Answer is A
Explanation
Choice A rationale
CSF analysis and MRI are crucial in diagnosing multiple sclerosis (MS). CSF may show elevated levels of oligoclonal bands, indicative of immune system activity in the central nervous system. MRI can detect lesions or plaques in the brain and spinal cord, which are characteristic of MS.
Choice B rationale
Serum albumin and CT scan are not standard diagnostic tools for MS. Serum albumin is more relevant to liver function and nutritional status, while CT scans are less sensitive than MRIs in detecting MS lesions.
Choice C rationale
CSF proteins and angiography are not standard tests for diagnosing MS. While CSF protein levels might be altered in MS, angiography is used to visualize blood vessels and is not relevant to MS diagnosis.
Choice D rationale
Serum anti-acetylcholine antibodies and x-rays are not used to diagnose MS. Anti-acetylcholine antibodies are related to myasthenia gravis, and x-rays are not useful for visualizing MS lesions.
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