When monitoring medication inventories for possible diversion or theft by nurses who abuse chemicals, what medication classifications should be monitored most closely? [SELECT ALL THAT APPLY]

Nonsteroidal anti-inflammatories

Opioid analgesics

Antidepressants

Benzodiazepines

Anticholinergics

Central nervous system stimulants

Answer and Explanation

Correct Answer : B,D,F

A.   While nonsteroidal anti-inflammatories (NSAIDs) are commonly used medications, they do not typically have a high potential for abuse or addiction. Monitoring these medications for diversion is generally not a primary concern compared to other classifications.
B.   Opioids are one of the most commonly abused medication classes due to their pain-relieving properties and high potential for addiction. They are frequently monitored closely for signs of diversion and theft in healthcare settings.
C.   Although some antidepressants may have mild abuse potential, they are not generally associated with the same level of diversion or abuse as opioids, benzodiazepines, or stimulants. Therefore, they are not typically monitored as closely.
D.   Benzodiazepines are known for their sedative effects and potential for dependency and abuse. They are often misused for their calming effects, making them a priority for monitoring in medication inventories.
E.   Anticholinergics are not commonly associated with abuse or diversion. They are used primarily for specific medical conditions and do not have a high potential for addiction, so monitoring these medications is not a primary focus.
F.   Central nervous system (CNS) stimulants, such as those used to treat ADHD, have significant potential for abuse and dependency. These medications can lead to feelings of euphoria and are often misused, making them important to monitor closely for diversion.

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Correct Answer is A

Explanation

A. This side effect, known as myelosuppression, is a significant concern and can manifest as anemia.
B. Hydroxyurea is actually prescribed to reduce the frequency of vasoocclusive crises by increasing fetal hemoglobin levels, which helps to prevent sickling of red blood cells. While a patient might experience pain crises while on hydroxyurea, the medication is intended to help manage this issue rather than be a reason for discontinuation.
C. While gastrointestinal upset is also a possible side effect, the risk of severe blood-related complications typically takes precedence when considering the discontinuation of hydroxyurea
D. While allergic reactions like itching or hives can occur with many medications, they are less common with hydroxyurea specifically.

A. Disinfecting blood pressure cuffs after clients are discharged. B. Demonstrating correct hand washing to the client's visitors." C. Asking clients about the use of immunosuppressant medications. D. Screening clients for upper respiratory tract symptoms.

Correct Answer is A

Explanation

A. Disinfecting equipment is a routine infection control measure that UAPs can perform after receiving proper training on the protocol. This activity does not require clinical judgment and falls within the
UAP’s responsibilities.
B. While UAPs may assist in educating visitors about hand hygiene, the demonstration of correct hand washing techniques is typically a nursing responsibility. Nurses are trained to provide this education effectively and ensure that the information is conveyed appropriately, especially since it may involve assessing visitors’ understanding.
C. This task requires clinical judgment and assessment skills, which are within the nursing scope of practice. Nurses need to evaluate this information in the context of the client’s overall health and care plan, making it inappropriate for delegation to UAP.
D. Screening for symptoms involves assessment and interpretation, which require a nursing level of knowledge and clinical judgment. While UAPs may collect basic data or report observations, actively screening clients for specific symptoms should be performed by a nurse.

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When monitoring medication inventories for possible diversion or theft by nurses who abuse chemicals, what medication classifications should be monitored most closely? [SELECT ALL THAT APPLY]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

Correct Answer is A

Explanation

Which infection control activity should the nurse delegate to an experienced unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

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