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Assignment:
Nayely is a nurse practitioner who has just begun working in Dr. Tran's small family medical practice in Charleston, South Carolina. Her last patient of the day, Ms. Rountree, has previously been prescribed hydrocodone for ongoing pain following back surgery. Nayely refers to the practice guidelines for prescribing controlled substances and asks Ms. Nayely a series of questions, including, Are you pregnant, or are you trying to be? Has the medication given you any ill effects? What other medications are you on? Do you have any liver or kidney problems?
After Ms. Rountree answers these questions satisfactorily, Nayely notes this on the online charting system. Nayely then asks Ms. Rountree to wait while she leaves the exam room and has Dr. Tran write the prescription refill.
Questions:
1. Why doesn't Nayely prescribe Ms. Roundtree's hydrocodone?
2. Nayely asks Ms. Rountree a series of questions as part of the medical practice guidelines. What other types of questions should Nayely ask or discuss with her patient before hydrocodone is prescribed?
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