Which of the following statements best describes generic names of medications?
They are the nonproprietary names of drugs
They are unique to each pharmaceutical company
They are not used on the NCLEX
They are always capitalized and trademarked
The Correct Answer is A
A. They are the nonproprietary names of drugs: Generic names are standardized names assigned by an official body such as the United States Adopted Names (USAN) Council. They are not owned by any drug company and are used universally across brands, making them the nonproprietary identifiers of medications.
B. They are unique to each pharmaceutical company: This describes brand or trade names, not generic names. Brand names vary between manufacturers, but the generic name remains the same regardless of who produces the medication.
C. They are not used on the NCLEX: Generic names are primarily used on the NCLEX to test nursing knowledge. Nurses are expected to recognize generic names, as they are the standard reference in clinical practice and reduce confusion associated with multiple brand names.
D. They are always capitalized and trademarked: Generic names are written in lowercase and are not trademarked. In contrast, brand names are capitalized and legally protected as trademarks by pharmaceutical companies.
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Correct Answer is D
Explanation
A. Respiratory arrest and coma: These are late, life-threatening manifestations of local anesthetic systemic toxicity (LAST) that occur after CNS and cardiovascular collapse. Recognizing early signs is critical to preventing progression to this severe stage.
B. Ventricular arrhythmias and cardiac arrest: These are also late signs of LAST, resulting from the anesthetic’s depressant effects on cardiac conduction. By the time these occur, toxicity is advanced and may require immediate resuscitation measures.
C. Hypotension and tachycardia: Although cardiovascular symptoms may eventually develop, they are typically preceded by neurological signs. Early identification and management of CNS symptoms can often prevent progression to cardiovascular compromise.
D. Tinnitus, metallic taste, and perioral numbness: These are classic early signs of LAST and indicate CNS involvement. They often occur within minutes of administration and should prompt immediate intervention to stop drug absorption and initiate supportive care.
Correct Answer is A
Explanation
A. Tablets: The drug label clearly states "Zoloft (sertraline hydrochloride) tablets," indicating that this formulation is in tablet form. It also mentions "30 Tablets" directly below the dosage strength, confirming the correct formulation.
B. Lozenge: Lozenges are designed to dissolve slowly in the mouth for local effect and are not typically used for systemic antidepressants like sertraline. This formulation is not indicated on the label.
C. Elixir: An elixir is a liquid form of medication containing alcohol, and although sertraline can be made in liquid form, this label specifically refers to tablets, not a liquid preparation.
D. Capsules: Capsules contain medication enclosed in a gelatin shell, often used for extended-release purposes. The label does not mention capsules and explicitly says "tablets," making this option incorrect.
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