The patient asks the nurse why generic drugs would be used and ...

[Mr.Thesaxman]

The patient asks the nurse why generic drugs would be used and voices concerns that only the brand name product will be safe. What is the nurse's best response?
 
  A) Generic drugs are often less expensive.
  B) Some quality control problems have been found with generic drugs.
  C) Most generic drugs are very safe and can be cost effective as well.
  D) Although initial cost is higher for a brand name it may cost less in the long run.

Question 2

The patient has been severely depressed since her father died 6 months ago. The physician has prescribed amitriptyline. The nurse reviews the patient's chart before administering the medication.
 
  What preexisting condition would require cautious use of this drug? A) Osteosarcoma
  B) Cardiovascular disorders
  C) Closed head injury
  D) Bleeding ulcer

[juicepod]

Answer to Question 1

C
Feedback:
Most generic medications are completely safe and may be identical to the brand name drug except generic medications are often less expensive, but this does not address the patient's concern about safety. Although some quality control issues have occurred in the past, this does not address the patient's concerns regarding safety or explain why generic drugs are prescribed and used. Although some doctors believe initial cost is higher but will cost less over time, this response also does not address the patient's concerns.

Answer to Question 2

B
Feedback:
Caution should be used with tricyclic antidepressants in patients with preexisting cardiovascular (CV) disorders because of the cardiac stimulatory effects of the drug and with any condition that would be exacerbated by the anticholinergic effects (e.g., angle-closure glaucoma, urinary retention, prostate hypertrophy, GI or genitourinary surgery). There is no indication that caution is needed with patients diagnosed with osteosarcoma, closed head injury, or bleeding ulcer.

[Mr.Thesaxman]

TYSM

[mjenn52]

Excellent