A hospital patient's physician has prescribed quetiapine (Seroquel) to be administered at bedtime
Being unfamiliar with the medication, the nurse has looked it up in a nursing drug manual and noted that the drug is an antipsychotic that is indicated for the treatment of schizophrenia and bipolar disorder. The patient has no psychiatric history, and upon questioning, the physician states that it is being prescribed to help the patient fall asleep at night. How should the nurse best understand this practice?
A) This off-label use of the drug is prohibited by federal laws and professional practice standards.
B) This is an appropriate use of the drug, provided it is supported by the literature.
C) This is acceptable if the patient has failed to respond adequately to conventional sleep aids.
D) This is a practice that may negate the physician's and nurse's liability insurance.
B
You might also like to view...
A patient will be taking a 2-week course of
combination therapy with omeprazole (Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole? a. Antibiotic b. Nonsteroidal anti-inflammatory drug c. Antacid d. Antiemetic
The most effective and least expensive treatment of puerperal infection is prevention. Which of the following is important in this strategy?
1. Large doses of vitamin C during pregnancy 2. Prophylactic antibiotics 3. Strict aseptic technique, including handwashing, by all health care personnel 4. Limited protein and fat intake
A patient experiences a chest wall contusion as a result of being struck in the chest with a baseball bat. The emergency department nurse would be most concerned if which finding is observed during the initial assessment?
a. Paradoxic chest movement b. Complaint of chest wall pain c. Heart rate of 110 beats/minute d. Large bruised area on the chest
MC A priority skill for the nurse who works in the community in an official health agency is
A. Coordinating programs and services. B. Cultural competence and sensitivity skills. C. Setting priorities for developing evaluation criteria. D. Outcomes identification.