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."
Correct Answer: 4
Rationale: Schedule II drugs cannot be refilled without the client seeing the physician. Not taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the physician for a refill. A Schedule IV drug may not effectively relieve the client's pain.
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