A patient asks a nurse why drugs that have been approved by the FDA still have unknown side effects. What will the nurse tell the patient?

a. Testing for all side effects of a medication would be prohibitively expensive.
b. Patients in drug trials often are biased by their preconceptions of a drug's benefits.
c. Researchers tend to conduct studies that will prove the benefits of their new drugs.
d. Subjects in drug trials do not always represent the full spectrum of possible pa-tients.


D
All drug trials are limited by a relatively small group of subjects who may not have all the cha-racteristics of people who will be using the drug; therefore, some side effects go undetected until the drug is in use. Although drug trials are very expensive, this is only an indirect reason they do not detect all side effects before approval. In theory, well-designed drug trials, using blinded stu-dies, minimize or eliminate subject bias. Designing studies to prove desired results is unethical.

Nursing

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A pregnant woman is discussing her desire to have her baby in a birthing center. Which factors could exclude the patient from delivering in a birthing center? (Select all that apply.)

a. The patient is a primigravida. b. The patient will be having a planned cesarean delivery. c. The mother has preeclampsia. d. The baby is a boy. e. The mother has no support system.

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Primary health care focus includes (Select all that apply.)

a. Individual health screenings. b. Community health promotion programs. c. Development of health policies. d. Disease prevention in communities. e. Discharge planning for individual patients.

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Written literature reviews are undertaken for many different purposes. In a qualitative research report, what section of the report would the thematic analysis of the data be presented?

A) Introduction B) Methods C) Results D) Discussion

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The nurse obtains vital signs on a patient with gastrointestinal bleeding who has a large, dark red, foul-smelling stool. Which of these vital sign changes should the nurse report as indicative of early shock?

a. Decreasing systolic blood pressure, bradycardia, and slow respirations b. Rise in diastolic blood pressure, bradycardia, and slow respirations c. Drop in diastolic blood pressure, bradycardia, and shallow respirations d. Normal blood pressure, tachycardia, and rapid respirations

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