A client who is admitted to the intensive care unit for monitoring notices the arthritis medication does not look like the one used at home and asks the nurse why. Which response by the nurse is the most appropriate?
1. "This is a different brand from the one you use at home, but it will give you the same pain relief."
2. "Your health care provider feels we can safely substitute this drug for the drug you use at home."
3. "This generic drug is the one we have on formulary in the pharmacy. It has the same ingredients as the one you use at home."
4. "This is what we have in the pharmacy. Go ahead and take it for now and let me know if it doesn't relieve the pain."
5. "The medications in the hospital often do not look like the ones you get from the pharmacy."
Correct Answer: 1,2,3
Rationale 1: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 2: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 3: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety.
Rationale 4: This response does not let the client know that it is very common to substitute noncritical care medications with various generic or brand-name versions.
Rationale 5: This response does not let the client know that it is very common to substitute noncritical care medications with various generic or brand-name versions.
Global Rationale: Most brand-name drugs can be safely substituted with generic drugs. The exceptions to this rule are critical care drugs and drugs with a narrow margin of safety. The other responses do not let the client know that it is very common to substitute noncritical care medications with various generic or brand-name versions.
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