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During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?
- A. No prescription refills are permitted.
- B. Refills are allowed only by written prescription.
- C. The patient may have no more than five refills in a 6-month period.
- D. Written prescriptions expire in 12 months.
Correct Answer: C
Rationale: Schedule C-III medications may be refilled no more than five times in a 6-month period. The patient should be informed of this regulation. No prescription refills are permitted for Schedule C-II drugs. Requiring refills by written prescription only applies to Schedule C-II drugs. Schedule C-III prescriptions (written or oral) expire in 6 months.
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Nurses have the ethical responsibility of doing or actively promoting good. What is this principle known as?
- A. Justice
- B. Veracity
- C. Beneficeence
- D. Autonomy
Correct Answer: C
Rationale: Beneficeence is the ethical principle of doing or actively promoting good. Veracity is defined as the duty to tell the truth. Justice is the ethical principle of being fair or equal in one's actions. Autonomy is self-determination, or the ability to make one's own decisions.
A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drug. The team member is participating in what type of study?
- A. Phase I
- B. Phase II
- C. Phase III
- D. Phase IV
Correct Answer: A
Rationale: Phase I studies involve small numbers of healthy volunteers to determine optimal dosage range and the pharmacokinetics of the drug. The other phases progressively involve volunteers who have the disease or ailment that the drug is designed to diagnose or treat.
A patient has been selected as a potential recipient of an experimental drug for multiple sclerosis. The nurse knows that when informed consent has been obtained, it indicates which of these?
- A. The patient has been informed that he or she will need to stay in the study until it ends.
- B. The patient will be informed of the details of the study as the research continues.
- C. The patient will receive the actual drug during the experiment.
- D. The patient has had the study's purpose, procedures, and possible benefits as well as risks involved explained to him.
Correct Answer: D
Rationale: Informed consent involves the careful explanation of the purpose of the study, the procedures to be used, and the risks involved. The other options do not describe informed consent. Participation in studies is voluntary and patients have the right to end participation at any time.
A patient is undergoing major surgery and asks the nurse about a living will. He states, -I don't want anybody else making decisions for me. And I don't want to prolong my life. I The patient is demonstrating which ethical term?
- A. Autonomy
- B. Beneficeence
- C. Justice
- D. Veracity
Correct Answer: A
Rationale: Autonomy includes self-determination, or the ability to act on one's own, including making one's own decisions about health care. Veracity is defined as the duty to tell the truth. Justice is the ethical principle of being fair or equal in one's actions. Beneficeence is the ethical principle of doing or actively promoting good.
When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly planting describes Schedule II drugs?
- A. Drugs with high potential for abuse that have accepted medical use
- B. Drugs with high potential for abuse that do not have accepted medical use
- C. Medically accepted drugs that may cause moderate physical or psychologic dependence
- D. Medically accepted drugs with limited potential for causing physical or psychologic dependence
Correct Answer: A
Rationale: Schedule II drugs are those with high potential for abuse but that have accepted medical use. Drugs that have high potential for abuse but do not have accepted medical use are Schedule I drugs. Medically accepted drugs that have moderate physical or high psychologic dependence potential are Schedule III drugs. Medically accepted drugs with limited potential for causing physical or psychologic dependence are Schedule IV and V drugs.