The physician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too expensive. What is the best plan by the nurse?

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ATI Pharmacology Proctored Exam 2019 Quizlet Questions

Question 1 of 5

The physician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too expensive. What is the best plan by the nurse?

Correct Answer: C

Rationale: Generic drugs, bioequivalent to brand names, cost less, making substitution the best plan to address expense while maintaining therapy. Assistance programs help but delay access. Cheaper brands may not exist or differ therapeutically. Samples are unsustainable. Generics offer a practical, immediate solution, widely supported by formularies, aligning with cost-effective care.

Question 2 of 5

The nurse has completed medication education with the patient who is receiving risperidone (Risperdal). The nurse evaluates that the education has been effective when the patient makes which statement?

Correct Answer: B

Rationale: Risperidone risks agranulocytosis, requiring blood monitoring . This statement shows understanding of a critical safety step, indicating effective education. Nightmares , weight loss , and metallic taste aren't key concerns. B ensures safety, making it the best indicator.

Question 3 of 5

A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient states, I am seeing a funny yellow color around the lights. What is the nurse™s next action?

Correct Answer: A

Rationale: The patient's statement about seeing a funny yellow color around the lights could be an early sign of digoxin toxicity. Digoxin toxicity can cause visual disturbances, such as seeing yellow or green halos around lights. Therefore, the nurse's next action should be to assess the patient for other symptoms of digoxin toxicity to determine the need for further intervention or medical attention.

Question 4 of 5

What is the e昀昀ect of Beta Blockers?

Correct Answer: C

Rationale: The effect of Beta Blockers is to decrease blood pressure and heart rate. Beta blockers work by blocking the action of adrenaline on beta receptors, leading to decreased heart rate and reduced force of contraction of the heart muscle. This results in a lowering of blood pressure, making beta blockers commonly prescribed for conditions such as hypertension, angina, and heart failure. Additionally, beta blockers are also used to manage certain arrhythmias and prevent heart attacks. Therefore, the correct answer is C - Decreases blood pressure and heart rate.

Question 5 of 5

A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:

Correct Answer: A

Rationale: Phenytoin induces liver enzymes that increase the metabolism of oral contraceptives, reducing their effectiveness. This increases the risk of unintended pregnancy. Pregnancy is not prohibited, but effective contraception is essential. Discontinuing phenytoin is not recommended without medical advice. Therefore, the nurse should inform the client about the decreased effectiveness of birth control pills.

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