The patient tells the nurse that he or she has begun ordering his or her medications over the Internet because it is cheaper. What statement made by the nurse in response to this information is accurate?
A) All drugs are manufactured with the same quality controls.
B) Any drug that is shipped into this country is safe to use.
C) Foreign drugs may have the same name as domestic drugs, but they are not the same drug.
D) If you order from Canada or Mexico, the drugs are safe because they undergo testing.
C
Feedback:
The Food and Drug Administration has begun checking these drugs when they arrive in this country and have found many discrepancies between what was ordered and what is in the product, as well as problems in the storage of these products. Some foreign brand names are the same as brand names in this country but are associated with different generic drugs. Options A, B, and D are incorrect because not all drugs are manufactured the same and they are not always safe coming from another country.
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A nurse assesses an older adult client who has multiple chronic diseases. The client's heart rate is 48 beats/min. Which action should the nurse take first?
a. Document the finding in the chart. b. Initiate external pacing. c. Assess the client's medications. d. Administer 1 mg of atropine.
The nurse is assessing a client for hepatomegaly by percussing over the liver. The nurse would expect to hear which of the following sounds when percussing the liver?
1. Loud, low-pitched 2. Soft, high-pitched 3. Drum-like 4. Abnormally loud
What is the correct position for a sublingual tablet?
a. As far back on the top of the tongue as possible without swallowing it b. Between the cheek and the gum of the upper teeth c. Between the cheek and the gum of the lower teeth d. Under the front of the tongue
An 80-year-old patient has difficulty walking because of arthritis and says, "It's awful to be old. Every day is a struggle. No one cares about old people." Which is the nurse's most therapeutic response?
a. "Everyone here cares about old people. That's why we work here." b. "It sounds like you're having a difficult time. Tell me about it." c. "Let's not focus on the negative. Tell me something good." d. "You are still able to get around, and your mind is alert."