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The physician ordered a brand name drug for the client,paroxetine (Paxil) .After taking this medication for a year,the client tells the nurse that it is no longer working.What is the best assessment of the nurse at this time?


A) "This sounds like your medication needs changing."
B) "Let's look for interactions with other medications you are taking."
C) "Are you taking Paxil or paroxetine?"
D) "It is time for us to do the Beck Depression assessment again."

E) B) and D)
F) B) and C)

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A client is admitted to the emergency department with high blood pressure.The health care provider orders a diuretic and tells the client this medication will lower the blood pressure by decreasing intravascular fluid volume.What does this description address? Credit will be given only if all correct choices and no incorrect choices are selected.


A) The drug's mechanism of action
B) The drug's pharmacologic classification
C) How the drug produces its effects in the body
D) The drug's therapeutic classification
E) What condition is being treated by the drug

F) B) and C)
G) A) and D)

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A client tells the nurse that the health care provider has prescribed a new medication that ìhas just come on the market.î The nurse has not heard of this particular medication but is able to give the client important information based on its prototype drug because of which principles? Credit will be given only if all correct choices and no incorrect choices are selected.


A) Knowing the prototype drug allows the nurse to predict the mechanism of action of the new medication.
B) The information regarding the prototype drug can be extended to any drug in the same class.
C) The prototype drug is the drug to which all drugs in a class are compared.
D) Knowing the prototype drug's therapeutic or pharmacologic classification can reveal important information about other drugs in the same class.
E) This is a new drug on the market.It may not have a prototype drug yet and its properties cannot be predicted.

F) C) and D)
G) A) and C)

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During pharmacology class,the student nurse asks the nursing instructor how students will ever learn about the individual antibiotic drugs since there are so many.What is the best response by the nursing instructor?


A) "You will learn a little trick called mnemonics."
B) "You will learn how to do a flow chart to enhance memory."
C) "You will learn how to categorize the individual drugs."
D) "You will learn a representative drug from each class."

E) A) and B)
F) All of the above

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The client is receiving a very expensive medication.The client asks the nurse why the medicine is so expensive.What is the best response by the nurse?


A) "It is expensive,but your insurance covers it and you have a low co-pay."
B) "Drug companies are allowed to advertise medications and this adds to the cost."
C) "Drug companies must recoup the cost of developing and producing the drug."
D) "I think the drug companies should be more accountable for lowering costs."

E) A) and C)
F) B) and D)

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The client is receiving methadone (Dolophine) ,a Schedule II drug.The client says to the nurse,"A pharmacist told me his pharmacy must register with the Drug Enforcement Administration (DEA) to give me this drug;will DEA agents be snooping around my house?" What is the best response by the nurse?


A) "It is probably unlikely that Drug Enforcement Administration (DEA) agents will be bothering you."
B) "No,the Drug Enforcement Administration (DEA) restricts drugs that have a high potential for abuse."
C) "No.I think our system should be more like Europe;they have fewer controlled drugs."
D) "That's an interesting question.Are you worried about the Drug Enforcement Administration (DEA) ?"

E) A) and D)
F) A) and B)

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The client is receiving a brand name drug and wants to change to the generic form because it is cheaper.What is the best outcome for this client?


A) Client will state two ways a brand name drug differs from a generic name drug.
B) Client will take the brand name drug after speaking with the physician.
C) Client will ask the nurse why brand name drugs are better than generic drugs.
D) Client will state two ways to obtain the medication at a reduced cost.

E) A) and C)
F) A) and B)

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