Why is Tramadol a schedule V drug?
It has a low potential for abuse
It requires strict monitoring for adverse effects
It is a powerful opioid medication
It is commonly used for chronic pain management
The Correct Answer is A
A. Tramadol is classified as a Schedule V controlled substance because it has a low potential for abuse relative to other opioids. While it can cause dependence, the risk is lower than that of Schedule II–IV opioids.
B. While monitoring for adverse effects is important, this is not the reason for its scheduling; scheduling is based on abuse potential, not monitoring requirements.
C. Tramadol is weaker than other opioids like morphine or oxycodone, and its scheduling reflects its lower abuse risk rather than potency.
D. Its common use for chronic pain management does not determine its legal classification; scheduling is determined by potential for abuse and dependence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypertension is an indication for atenolol, not a contraindication; it is commonly prescribed to lower blood pressure.
B. Diabetes mellitus is not an absolute contraindication, though beta-blockers like atenolol can mask signs of hypoglycemia; caution is advised.
C. Glaucoma is not a contraindication; some beta-blockers are even used topically to treat glaucoma.
D. Exercise-induced asthma or any form of asthma is a contraindication for non-selective beta-blockers like atenolol because it can cause bronchoconstriction and precipitate asthma attacks, posing a serious risk to the client.
Correct Answer is C
Explanation
A. Drinking grape juice to acidify urine is not necessary for Tylenol (acetaminophen) therapy and does not enhance its effectiveness; this is unrelated patient teaching.
B. Performing perineal care back-to-front increases the risk of introducing bacteria from the rectal area to the urinary tract and is incorrect. Proper technique is front-to-back.
C. Drinking large amounts of fluids helps flush bacteria from the urinary tract, which is an important supportive measure when managing urinary discomfort or infection. This demonstrates correct understanding of general patient teaching related to urinary health.
D. Taking Tylenol for any discomfort without considering dosage limits or underlying conditions could be unsafe; patient teaching should include using the correct dose and monitoring total daily intake to avoid liver toxicity.
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