When categorizing medications, drug classifications may be defined by the effects of the drug and:

The symptoms the drug relieves.

The dosage amounts.

Patient tolerance.

The nursing implications.

Answer and Explanation

The Correct Answer is A

Choice A reason: Classifications like “analgesics” pair effects (pain relief) with symptoms (pain); this pharmacological basis groups drugs by therapeutic purpose and mechanism.

Choice B reason: Dosage varies within classes; it’s not a defining trait, as classifications focus on action (e.g., beta-blockers), not specific amounts administered.

Choice C reason: Tolerance is patient-specific, not a classification criterion; drugs are grouped by effect and symptom relief, not individual response variations.

Choice D reason: Nursing implications guide administration, not classification; categories stem from pharmacology (e.g., antihypertensives), not care protocols or implications.

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Correct Answer is C

Explanation

Choice A reason: An ID number alone lacks context; without name confirmation, it risks mismatching if wristbands are swapped, missing a critical identity check.

Choice B reason: Name alone may coincide with common names; without a unique identifier like a hospital number, this method risks errors in a busy unit.

Choice C reason: Name and hospital number provide dual identifiers; this matches the MAR precisely, ensuring accuracy for an unconscious patient per safety standards.

Choice D reason: Calling an unconscious patient is futile; they can’t respond, making this impractical and unreliable compared to objective wristband verification.

A. One nurse who is going off duty and one nurse coming on duty. B. The unit's head nurse and a hospital pharmacist. C. Everyone who has given or will be giving narcotics on both shifts. D. One pharmacy technician and the unit's head or charge nurse.

Correct Answer is A

Explanation

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.

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When categorizing medications, drug classifications may be defined by the effects of the drug and:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The best method to verify "the right patient" in an unconscious client is to:

Correct Answer is C

Explanation

The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

Correct Answer is A

Explanation

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