A client has been having a hard time keeping their thyroid levels therapeutic while taking levothyroxine. So the prescriber orders the client to only take the brand name Synthroid. The patient asks what difference this will make. What's the nurse's best response?
Generic medications can include different binding ingredients which may affect drug levels in some people.
There is less regulation with generic medications.
Honestly, it makes no difference, the doctor just gets more money when you buy the brand name.
Brand name drugs are always better because they are made by major pharmaceutical companies.
The Correct Answer is A
Choice A reason: This statement is true. The nurse's best response is to explain that generic medications can have different inactive ingredients, such as fillers, binders, or colors, which may affect how the drug is absorbed, distributed, metabolized, or excreted in the body. This can result in variations in the drug levels and effects in some people. Levothyroxine is a synthetic thyroid hormone that requires precise dosing and monitoring to achieve therapeutic levels and avoid adverse effects. Therefore, the prescriber may prefer the client to take the brand name Synthroid, which has a consistent formulation and quality.
Choice B reason: This statement is false. The nurse should not say that there is less regulation with generic medications, as this is not true. Generic medications are required to meet the same standards of safety, efficacy, and quality as brand name drugs by the Food and Drug Administration (FDA). They must also have the same active ingredient, strength, dosage form, and route of administration as the brand name drug.
Choice C reason: This statement is false. The nurse should not say that it makes no difference, the doctor just gets more money when you buy the brand name, as this is not true and unethical. The doctor does not get any financial benefit from prescribing the brand name drug, and the client may pay more for the brand name drug than the generic one. The doctor may have a valid reason for preferring the brand name drug, such as the client's response, preference, or allergy.
Choice D reason: This statement is false. The nurse should not say that brand name drugs are always better because they are made by major pharmaceutical companies, as this is not true and biased. Brand name drugs are not necessarily better than generic drugs, as they have the same active ingredient and therapeutic effect. However, some brand name drugs may have advantages over generic drugs, such as patent protection, innovation, or formulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is false. Atorvastatin is not a medication that the nurse should hold, as it is used to lower cholesterol and prevent cardiovascular events. It does not have a significant effect on blood pressure, heart rate, or blood glucose.
Choice B reason: This statement is true. Captopril is a medication that the nurse should hold, as it is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the captopril and notify the prescriber.
Choice C reason: This statement is false. Atenolol is not a medication that the nurse should hold, as it is a beta-blocker that lowers blood pressure and heart rate. It can also prevent angina and reduce the risk of heart attack. The client has a normal heart rate and a slightly elevated blood pressure, which can be expected after surgery. The nurse should monitor the client's vital signs and administer the atenolol as ordered.
Choice D reason: This statement is false. Glipizide is not a medication that the nurse should hold, as it is an oral antidiabetic drug that lowers blood glucose by stimulating the release of insulin from the pancreas. The client has a normal blood glucose level, which can be maintained by taking the glipizide as ordered. The nurse should also encourage the client to follow a balanced diet and exercise regimen.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This statement is true. Atenolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina and heart attacks.
Choice B reason: This statement is true. Labetalol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on both the alpha and beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents hypertension and preeclampsia.
Choice C reason: This statement is true. Metoprolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina, heart failure, and arrhythmias.
Choice D reason: This statement is false. Captopril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and kidney damage.
Choice E reason: This statement is false. Ramipril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and stroke.
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