Nokea
The U.S. Food and Drug Administration ensures that generic drugs:
- A. Have the same active ingredient as the brand-name drug
- B. Are less expensive than the brand-name drug
- C. Have the same color as the brand-name drug
- D. All of the above
Correct Answer: A
Rationale: Choice A is correct because the FDA requires generics to have the same active ingredient, strength, and efficacy as brand-name drugs, ensuring therapeutic equivalence. Choice B is incorrect as cost isn't FDA-regulated—it's market-driven. Choice C is wrong because color can vary. Choice D is incorrect since only A is FDA-enforced.
You may also like to solve these questions
Herbal products that should be avoided when a patient is taking warfarin include:
- A. Ginkgo biloba
- B. Echinacea
- C. Valerian root
- D. All of the above
Correct Answer: A
Rationale: Choice A is correct because ginkgo biloba has antiplatelet effects, enhancing warfarin's anticoagulation and bleeding risk, so it should be avoided. Choice B is incorrect as echinacea doesn't significantly interact with warfarin. Choice C is wrong because valerian root's sedative effects don't notably affect anticoagulation. Choice D is incorrect since only ginkgo biloba poses a clear risk.
Risk factors for misuse of controlled substances include:
- A. History of substance abuse
- B. Young age
- C. Mental health disorders
- D. All of the above
Correct Answer: D
Rationale: Choice D is correct because prior substance abuse, young age (impulsivity), and mental health issues (self-medication) are all established risk factors for misuse, per addiction research. Choice A is incorrect alone as it's one factor. Choice B is wrong by itself because age is just part. Choice C is incorrect solo since mental health is only one aspect.
Drugs that require patient monitoring under REMS include:
- A. Acetaminophen
- B. Clozapine
- C. Ibuprofen
- D. All of the above
Correct Answer: B
Rationale: Choice B is correct because clozapine requires monitoring (e.g., ANC for neutropenia) under its REMS program due to severe risks, unlike others. Choice A is incorrect as acetaminophen doesn't need REMS monitoring. Choice C is wrong because ibuprofen lacks such requirements. Choice D is incorrect since only clozapine applies.
Strategies to improve adherence to medication regimes include:
- A. Assuming that the patient understands the directions on the prescription bottle
- B. Writing instructions at a sixth-grade reading level
- C. Including a family member in the patient's medication education
- D. Assuming that the patient's health literacy level is the same as their general literacy
Correct Answer: C
Rationale: Choice C is correct because involving a family member improves adherence by providing support and reinforcing education, especially for complex regimens. Choice A is incorrect as assuming understanding risks miscommunication. Choice B is wrong because sixth-grade level may not suit all patients—tailoring is better. Choice D is incorrect since health literacy often differs from general literacy, requiring specific assessment.
When teaching a client who has a new prescription for metformin, which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Monitor for signs of hyperglycemia.
- C. Increase your fluid intake.
- D. Expect a metallic taste in your mouth.
Correct Answer: C
Rationale: The correct instruction for a client starting metformin is to increase fluid intake. This is crucial to prevent gastrointestinal discomfort, a common side effect of metformin. Adequate hydration helps reduce the risk of gastrointestinal upset and ensures the medication is well-tolerated. Option A is generally true for metformin but is not as essential as maintaining proper hydration. Option B is important but not directly related to starting metformin. Option D is incorrect as a metallic taste in the mouth is not typically associated with metformin.