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A healthcare provider orders Lasix (furosemide) for a client. The hospital formulary substitutes the generic equivalent of the brand name drug, and the nurse administers the generic drug. Which statement best represents the nurse's actions? (Select all that apply)

  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 bioequivalents

  3. The nurse used good judgment in administering the drug

  4. The nurse was correct; hospital policies allow for this

The correct answer is: The nurse should have contacted the physician prior to administering the drug

When a healthcare provider orders a specific brand name drug, it is crucial for the nurse to verify with the physician before administering the generic equivalent. This is important because different formulations may have variations in dosing, absorption, or pharmacokinetics, which could impact the client's response to the medication. By contacting the physician prior to administering the drug, the nurse ensures that the substitution is appropriate and safe for the client's specific situation. It is a standard practice to seek clarification in such situations to prioritize patient safety and prevent any potential adverse effects.