A community pharmacist calls the clinic and reports that a patient has asked for pain medication refills early for the last 2 months. What action should be taken by the nurse?

1. Notify the health care provider that the patient has lost control of his or her consumption of medication.
2. Tell the pharmacist to refill the prescriptions early.
3. Ask the pharmacist if the patient has received medications early from any other provider.
4. Notify the health care provider of the patient's request.


4
Rationale 1: The nurse does not have sufficient information to make this assumption.
Rationale 2: This decision is not within the nurse's scope of practice.
Rationale 3: This is not the best course of action for the nurse and may violate HIPAA regulations.
Rationale 4: There may be a valid reason the patient needs the medication earlier than is prescribed. The prescriber should make a decision according to the patient's history.

Nursing

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When caring for a client with substance abuse issues, what will the evaluation process used by the nurse depend on?

A) Whether the client has relapsed B) The anticipated outcome C) Whether the client recognizes his or her responsibilities D) The phase of the treatment process

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The nurse is providing a child with oxybutynin (Ditropan) as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?

A) Acidifies urine B) Relieves bladder spasms C) Stimulates kidney function D) Prevents nausea and vomiting

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A nurse is working with a particular cultural group in which it is not uncommon for parents to live with their married children and to assist with childrearing and discipline issues. This is an example of which type of family?

1. Two-career family 2. Blended family 3. Intragenerational family 4. Traditional family

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