N677 Controlled Substance Exam Test Questions And Answers Verified 100% Correct

N677 Controlled Substance Exam Test Questions And Answers Verified 100% Correct Vicodin has been changed from a Schedule _____ to a Schedule____drug due to its increased risk of abuse and addiction. - ANSWER -III to II 1. List two (2) different Schedule I substances (of which NPs are not permitted to prescribe). - ANSWER -Marijuana, Heroin, Peyote, LSD, Ecstasy. What class of pain medications typically should not be ordered for a renal impaired patient (GFR 50 ml/min)? - ANSWER -NSAIDS. NSAIDs and higher doses of Aspirin are not recommended for those with kidney impairment. In general, lowest effective dose should be prescribed. What class of pain medications typically should not be ordered for a moderately hepatic-impaired patient, or must be hepatic dosed adjusted? - ANSWER Acetaminophen. Drugs with Acetaminophen combination (Hydrocodone, oxycodone combos) According to the Pharmacotherapeutics for Advanced Practice Providers textbook, pure opioid agonists such as Morphine have the effects such as respiratory depression. From your textbook, list 5 more possible effects of pure opioid agonists. - ANSWER -Hypotension Confusion SedationNauseaVomitingHallucinations EuphoriaDepression of cough reflexes ParesthesiaMiosisConstipationNeurotoxicity Cough medications with codeine or antidiarrheal are what type of Scheduled medication? - ANSWER -Schedule V. Cough medicines containing no more than 200 milligrams of codeine per 100 milliliters or per 100 grams Benzodiazepines must be (fill in the blank) when you plan to discontinue them? Here's your choices- Abruptly stopped, tapered, dosed around the clock to be effective, or have thorough renal and hepatic labs before prescribing. - ANSWER Tapered. Per UpToDate (2021), reduce the dose by 50 percent every two to four weeks, with monitoring at each dose reduction and at two to four weeks after cessation. In addition, stop one drug at a time. How many refills can a patient have for Methylphenidate (Ritalin)? - ANSWER No refills. They must be ordered every time with a new prescription. It is a schedule II stimulant. What are the unique characteristics of Oxycodone (Oxycontin), aside from its potency? What Controlled Drug Schedule is it? - ANSWER -Schedule II. No refills must be electronically prescribed, in many areas. OxyContin is time released. Oxycodone products can be administered IM, IV, SQ, PO, PR. OxyContin PO can remain effective for up to 12 hours, making it the longest acting oxycodone product available. In 2010, it was reformulated to include hard coating on the outside that makes tablets difficult to crush, dissolve or break. It also forms a gel when combined with water, aimed at preventing abuse by snorting or injection. While legal doses vary by patient, a typical dose prescribed by a clinician ranges from two to four tablets daily. Four dosages available:10, 20, 40, and 80 mg The chemical structure of oxycodone is very similar to codeine. Oxycodone works on the CNS, altering the sense of pain and emotional response to pain. Side effects include: anxiolysis, euphoria, feelings of relaxation, respiratory depression, constipation, miosis, and cough suppression, as well as analgesia. Crushing could cause fatally high doses. Very high rate of conversion to heroin. Abusers of OxyContin prior to reformulation did not cease drug abuse because of the abuse deterrent formulation. It was originally marketed in the late nineties as "not addicting" and many clinics were opened just to write OxyCODONE prescriptions. What are the signs and symptoms of opiate withdrawal? - ANSWER -Abdominal cramps, diarrhea, nausea, and/or vomiting. Lacrimation, rhinorrhea, diaphoresis, shivering, and piloerection (goosebumps). Mydriasis, mild hypertension and tachycardia, anxiety and irritability, insomnia, agitation, restless leg syndrome, general restlessness, tremor, and, less frequently, low grade temperature and tactile sensitivity. Yawning, sneezing, anorexia, dizziness, myalgias/arthralgias, and leg cramps Which DEA Schedule contains drugs that have very high abuse potential and are not usually used as prescribed medications? - ANSWER -Schedule I No accepted medical use No legal use permitted. For registered research facilities only Heroin, LSD, mescaline, peyote, marijuana According to the Pharmacotherapeutics for Advanced Practice Nurse Prescribers textbook, about 10% of each dose of codeine in the liver converts to ________________________. - ANSWER -Morphine (pg. 261). True or false: Using benzodiazepines can lead to a potential for tolerance and dependency. - ANSWER -True. Especially Ativan and Xanax related to their potency and rapid, short-term action. According to the assigned reading handout "OTC Analgesia Checklist", what indications show that your patient may be at risk if you prescribe NSAIDs? And when should have a risk vs. benefit analysis and/or medication adjustment before prescribing NSAIDs? - ANSWER -• Have Hypertension? • Have asthma? • Take prescription medications such as NSAIDs, antihypertensives agents, diuretics, or anticoagulants? • Take OTC medications containing NSAIDs, including cough and cold or allergy products, sleep aids, antipyretics, and analgesics? • Take steroids or have a condition that requires long-term steroid use? • Is your patient 60 years or older? • Has your patient ever had an allergic reaction or serious side effects from taking pain relievers?