A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

Ask another licensed nurse to check the dose.

Sign out the drug on a narcotic control inventory sheet.

Leave the medication in a cup at the bedside.

Tell the patient to drink extra water with the pill.

Answer and Explanation

The Correct Answer is B

Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.

Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.

Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.

Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.

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Correct Answer is A

Explanation

Choice A reason: An applicator ensures precise vaginal delivery; it maintains sterility, controls depth, and optimizes medication contact with mucosa for effective absorption.

Choice B reason: Irrigation kits are for flushing; they’re inappropriate for solid or cream medications, risking uneven distribution or mucosal irritation in the canal.

Choice C reason: A finger risks contamination; without sterile technique, it introduces bacteria, and depth control is poor compared to a designed applicator.

Choice D reason: Gauze pads can’t deliver deeply; medication may stick or distribute poorly, reducing efficacy and comfort in vaginal administration settings.

A. Suggest total bed rest. B. Assist the patient when ambulating in the hall. C. Monitor intake and output. D. Instruct the resident to rise slowly when getting out of bed or a chair.

Correct Answer is D

Explanation

Choice A reason: Bed rest increases clot risk and deconditioning; vasodilators lower pressure, but mobility is beneficial unless contraindicated, making this overly restrictive.

Choice B reason: Assisting ambulation helps, but it’s less proactive; it doesn’t address orthostatic hypotension risks at initiation of movement, where falls are most likely.

Choice C reason: Monitoring intake/output tracks fluid status, not directly addressing vasodilation’s hypotensive effects during position changes, missing the primary safety concern.

Choice D reason: Rising slowly counters orthostatic hypotension from vasodilation; it allows autoregulation to stabilize pressure, reducing fall risk in an active elderly patient.

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A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

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Naxlex Comprehensive Predictor Exams

What should the nurse use when placing medication into a patient’s vaginal canal?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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