The client says to the nurse, I wonder if I am considered a drug ...

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The client says to the nurse, I wonder if I am considered a drug addict. I went to pick up my medication from the drug store and the pharmacist told me that the drug was a controlled substance. Which response by the nurse is the most appropria
 
  1. If you continue on this medication for a long time, you will become addicted to it.
  2. You are not an addict, but the Drug Enforcement Agency (DEA) will be watching your prescription drug habits now.
  3. Any drug that has a potential for abuse is considered a controlled substance and is restricted. This does not mean the pharmacist will think you are an addict.
  4. Do you think that you are addicted to your medication?

Question 2

The nurse is working in a cancer treatment center. A client diagnosed with terminal cancer has received a prescription for morphine (MS Contin), a schedule II drug for pain control.
 
  After medication teaching, which statement by the client indicates appropriate understanding?
  1. I should call the office three days before I need a refill called in to the pharmacy.
  2. I will need to see the provider each time for my refill.
  3. This is an addictive drug, so I should try not to take it.
  4. After the first prescription, my doctor will be able to call in my prescription.

[ttt030911]

Answer to Question 1

Correct Answer: 3
Rationale 1: Clients can be on controlled substances for various lengths of time without becoming addicted.
Rationale 2: The DEA does not monitor the prescription drug habits of every client who receives a controlled substance.
Rationale 3: The pharmacist recognizes all drugs with the potential for abuse are considered controlled substances and carry restrictions but most likely will not think the client is a drug addict.
Rationale 4: Asking the client if he thinks he is addicted does not answer his question about controlled substances.
Global Rationale: The pharmacist recognizes all drugs with the potential for abuse are considered controlled substances and carry restrictions but most likely will not think the client is a drug addict. Clients can be on controlled substances for various lengths of time without becoming addicted. The DEA does not monitor the prescription drug habits of every client who receives a controlled substance. Asking the client if he thinks he is addicted does not answer his question about controlled substances.

Answer to Question 2

Correct Answer: 2
Rationale 1: Schedule II drugs cannot not have refills called into the pharmacy.
Rationale 2: The client will need to see the provider each time a refill is needed.
Rationale 3: The client should take the drug as it is needed and directed. Addiction is not a concern at this time.
Rationale 4: Schedule II medications cannot be called into the pharmacy.
Global Rationale: The client will need to see the provider each time a refill is needed and this indicates the client has understood the information presented. Schedule II drugs cannot not have refills called into the pharmacy. The client should take the drug as it is needed and directed. Addiction is not a concern at this time. Schedule II medications cannot be called into the pharmacy.

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Gracias!

[strudel15]

TYSM