The patient's insurance company refuses to pay for the brand name formulation of a prescribed drug. Which formulation of the drug will the patient receive instead?

Trade

Generic

Chemical

Proprietary

Answer and Explanation

The Correct Answer is B

Choice A reason: Trade names are brand-specific; insurance denial of the brand rules this out, as it’s the costly formulation they won’t cover for the patient.

Choice B reason: Generic drugs, bioequivalent to brands, cost less; insurance favors them, ensuring the same active ingredient and efficacy at a lower price point.

Choice C reason: Chemical names describe molecular structure, not a formulation; they’re not dispensed as drugs, making this irrelevant to insurance or pharmacy.

Choice D reason: Proprietary is synonymous with brand; if insurance denies the brand, this option is also excluded, leaving generic as the viable substitute.

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Correct Answer is D

Explanation

Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.

Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.

Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.

Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.

A. Into the patient's vastus lateralis B. Into the patient's deltoid C. Into the patient's intravenous line D. Into the fatty tissue of the patient's abdomen

Correct Answer is D

Explanation

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

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The patient's insurance company refuses to pay for the brand name formulation of a prescribed drug. Which formulation of the drug will the patient receive instead?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient would be a candidate for animal-assisted therapy?

Correct Answer is D

Explanation

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Correct Answer is D

Explanation

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