If a patient’s insurance company declines to cover the cost of a brand-name drug, which version of the drug will the patient likely receive instead?

Generic version

Over-the-counter version

Imported version

Compounded version

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Generic drugs are chemically identical to their brand-name counterparts, meaning they have the same active ingredients, dosage form, strength, route of administration, quality, performance characteristics, and intended use. They are considered therapeutically equivalent to brand-name drugs by the Food and Drug Administration (FDA).

Here are the key reasons why a patient would likely receive a generic version if the insurance company declines to cover the brand-name drug:

Cost: Generic drugs are significantly less expensive than brand-name drugs. This is because generic drug manufacturers do not have to repeat the extensive research and development costs associated with the original brand-name drug. They can enter the market after the brand-name drug's patent expires, leading to substantial cost savings.

Insurance Coverage: Insurance companies often have preferred drug lists (formularies) that prioritize generic drugs due to their cost-effectiveness. If a brand-name drug is not on the formulary or requires a high co-pay, the insurance company may encourage or even require the use of a generic alternative to manage costs.

Availability: Generic drugs are often widely available in pharmacies, making them readily accessible to patients. This availability further contributes to their cost-effectiveness and convenience.

I'm unable to provide lengthy rationales for the other choices as they are not relevant to the correct answer.

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Correct Answer is D

Explanation

Choice A rationale:

Incorrect because swallowing the tablet with water would lead to slower absorption and a delayed onset of action. Nitroglycerin is rapidly absorbed through the oral mucosa, and swallowing it would route it through the digestive system, where it would be absorbed more slowly and less effectively.

Swallowing the tablet could also increase the risk of side effects, such as headache and flushing, due to the larger amount of the drug that would be absorbed systemically.

Choice B rationale:

Incorrect because crushing the tablet and dissolving it in water would also delay its absorption. This method would require the tablet to dissolve in the water before it could be absorbed through the oral mucosa, which would slow down the onset of action.

Crushing the tablet could also damage the medication and make it less effective.

Choice C rationale:

Incorrect because placing the tablet in the patient's mouth next to the cheek would not allow for optimal absorption. The oral mucosa under the tongue is more permeable than the cheek, so placing the tablet under the tongue allows for faster and more efficient absorption.

Placing the tablet in the cheek could also increase the risk of the patient accidentally swallowing it.

Choice D rationale:

Correct because placing the tablet under the patient's tongue allows for rapid absorption and a quick onset of action. The sublingual route is the preferred method of administration for nitroglycerin because it allows the medication to bypass the digestive system and be absorbed directly into the bloodstream.

This method also allows for the patient to easily remove the tablet if they experience any side effects.

A. A patient who recently underwent hemorrhoid surgery B. A patient with a fractured right arm C. A patient with an abscessed tooth D. A patient suffering from painful back muscle spasms

Correct Answer is A

Explanation

Choice A rationale:

Hemorrhoids are swollen veins in the anus and rectum that can cause pain, itching, and bleeding. Sitz baths are a common and effective treatment for hemorrhoids because they can help to:

Reduce inflammation and pain Promote healing

Relax the anal sphincter muscles Cleanse the anal area

Warm water helps to increase blood flow to the area, which can help to reduce swelling and inflammation. The water also helps to soothe and cleanse the irritated tissues.

Sitz baths are typically taken for 10-15 minutes at a time, several times a day. They can be taken in a bathtub or a special sitz bath basin that fits over a toilet seat.

Choice B rationale:

A fractured right arm would not benefit from a sitz bath. Sitz baths are specifically for treating the anal and rectal area.

Choice C rationale:

An abscessed tooth would not benefit from a sitz bath. Sitz baths are specifically for treating the anal and rectal area.

Choice D rationale:

Painful back muscle spasms would not benefit from a sitz bath. Sitz baths are specifically for treating the anal and rectal area.

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If a patient’s insurance company declines to cover the cost of a brand-name drug, which version of the drug will the patient likely receive instead?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How will the nurse administer a nitroglycerin sublingual tablet to the patient?

Correct Answer is D

Explanation

Which patient would most likely benefit from a sitz bath?

Correct Answer is A

Explanation

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