The nurse provides medication education to a client with terminal cancer. The physician has ordered morphine (MS Contin), a Schedule II drug, for the client. The nurse determines that learning has occurred when the client makes which statement?
1. "I need to call the office for a refill before my medication runs out."
2. "This drug is addictive so I should only take it when my pain becomes severe."
3. "Maybe my doctor could change me to a Schedule IV drug."
4. "I need to see my doctor before my prescription runs out so I can get a refill."
4
Rationale 1: Schedule II drugs cannot be refilled by phone order.
Rationale 2: Not taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a client with terminal cancer.
Rationale 3: A Schedule IV drug may not effectively relieve the client's pain.
Rationale 4: The client must see the physician for a refill.
Global Rationale: Schedule II drugs cannot be refilled by phone order. Not taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a client with terminal cancer. The client must see the physician for a refill. A Schedule IV drug may not effectively relieve the client's pain.
You might also like to view...
An older client newly diagnosed with arthritis wants to know what else can be done to help with the pain. What should the nurse instruct this client? Select all that apply.
1. Maintain a healthy weight. 2. Avoid positions that increase or cause pain. 3. Reduce intake of red meat and processed grains. 4. Alcohol should not be used for any reason. 5. Perform daily gentle exercise like walking.
Leonard is completing a 6-month regimen to treat tuberculosis (TB). Monitoring of a patient on TB therapy includes:
1. Monthly sputum cultures 2. Monthly chest x-ray 3. Bronchoscopy every 3 months 4. All of the above
A faculty member is speaking to prospective students interested in enrolling in the BSN program at the university. What should the faculty member emphasize as a major incentive for students to select a BSN program over an ADN program?
1. Ability to work in critical care areas 2. Easier transition to graduate school 3. Better opportunity for career advancement 4. Liberal arts education
The nurse is aware that which of the following clients is at greatest risk for developing medica-tion toxicity?
1. The 16-year-old anorexic 2. The 35-year-old with liver cancer 3. The 45-year-old chronic alcoholic 4. The 73-year-old diagnosed with hepatitis B