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: 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.

A. Dissolving it in juice. B. Mixing it in applesauce or soft food. C. Adding it to water. D. Sprinkling it on meat or vegetables.

Correct Answer is B

Explanation

Choice A reason: Juice may alter absorption; liquid can dilute or degrade some drugs, and taste may deter intake, reducing effectiveness compared to soft food.

Choice B reason: Applesauce masks taste and aids swallowing; it ensures crushed medication is consumed fully, maintaining dose integrity without altering pharmacokinetics significantly.

Choice C reason: Water may not mask bitterness; some drugs dissolve poorly or lose potency, and patients may not finish it, risking incomplete dosing.

Choice D reason: Meat or vegetables may bind drugs; uneven distribution or strong flavors could reduce intake, compromising the full therapeutic dose delivery.

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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

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Explanation

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