A nurse is discussing issues regarding controlled substances and reporting with a newly licensed nurse in an inpatient facility. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?
"Controlled substances are kept in the bottom drawer of the medication cart."
"I should verify the number of controlled substances at the end of the shift. The provider is responsible for inventory of controlled substances."
"If a controlled substance requires a waste, a second nurse must witness the waste."
"Computer controlled substance inventory is reported to the Drug Enforcement Administration every 10 years."
The Correct Answer is C
Rationale:
A. "Controlled substances are kept in the bottom drawer of the medication cart.": Controlled substances are stored in locked, secure medication dispensing systems or locked drawers—not casually in the bottom drawer. Security measures are in place to prevent diversion and ensure accurate tracking.
B. "I should verify the number of controlled substances at the end of the shift. The provider is responsible for inventory of controlled substances.": While end-of-shift counts are standard practice, the nurse not the provider is responsible for verifying inventory at shift change. Accountability for handling and documenting controlled substances lies with nursing staff.
C. "If a controlled substance requires a waste, a second nurse must witness the waste.":
This is a correct and essential safety protocol. When wasting part of a controlled substance dose, a second licensed nurse must witness and document the waste to prevent diversion and ensure accurate medication tracking.
D. "Computer controlled substance inventory is reported to the Drug Enforcement Administration every 10 years.": Facilities are required to maintain records and conduct regular audits, and the DEA mandates inventory at least every 2 years not every 10. Reporting frequency and requirements are more stringent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Changing a sterile dressing on a client's open wound: Sterile procedures require nursing judgment and knowledge of aseptic technique. This task falls within the scope of practice for licensed nurses, not assistive personnel.
B. Performing postmortem care for a client: Postmortem care, such as cleaning the body and preparing it for transport, is a non-sterile, routine task that can be safely delegated to assistive personnel in accordance with facility policy and under nurse supervision.
C. Interpreting a client's laboratory values: Interpretation of lab results requires clinical judgment and is the responsibility of licensed personnel. Assistive personnel are not trained or authorized to interpret clinical data.
D. Inserting a client's NG tube: Inserting a nasogastric tube is an invasive procedure that requires assessment and verification of placement. This task is beyond the scope of assistive personnel and should be performed by a nurse.
Correct Answer is D
Explanation
Rationale:
A. Administer disulfiram: Disulfiram is used to deter alcohol consumption by causing unpleasant effects when alcohol is consumed. It has no therapeutic use in the treatment of gambling disorders and would not address the behavioral or psychological components involved.
B. Encourage participation in exposure therapy: Exposure therapy is typically used for anxiety disorders, such as phobias or post-traumatic stress disorder. It is not a standard treatment for gambling disorder, which requires cognitive and behavioral interventions tailored to impulse control.
C. Administer memantine: Memantine is primarily used to manage symptoms of Alzheimer’s disease and is not an approved or evidence-based treatment for gambling disorder. Its mechanism of action is unrelated to the neurobiology of behavioral addictions like gambling.
D. Recommend client join a self-help group: Self-help groups like Gamblers Anonymous provide peer support and structured recovery programs that address compulsive gambling behaviors. Participation can foster accountability, emotional support, and behavioral change, making this a relevant and effective nursing intervention.
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