The physician orders a brand name drug for the client. The hospital formulary substitutes the generic equivalent of the brand name drug, and the nurse administers the generic drug. Which statement(s) best represents the nurse's action?
1. The nurse should have contacted the physician prior to administering the drug.
2. The nurse should have called the pharmacist to see if the drugs were bioequivalent.
3. The nurse used good judgment in administering the drug.
4. The nurse was correct; hospital policies allow for this.
Correct Answer: 3,4
Rationale: The nurse used good judgment as hospital policies allow for generic substitution of certain drugs. If there is a concern, the pharmacist should contact the physician. It is not feasible for the nurse to contact the physician every time there is a generic substitution. Physicians are aware of the hospital formulary.
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