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What should the nurse include in the discussion with a client who asks about a new drug for advanced heart disease? (select all that apply)

  1. Decisions on using drugs are based on many different variables

  2. People who are very sick often have unrealistic expectations of what drugs can do

  3. Since the drug is new it is dangerous to use

  4. We certainly can talk to your physician about the drug

The correct answer is: Decisions on using drugs are based on many different variables

It is important for the nurse to provide accurate and thorough information to clients who ask about new drugs for advanced heart disease. While B may be true in some cases, it is not an accurate or helpful response to the client's question. Option C is also incorrect as newly developed drugs undergo rigorous testing and approval processes before being made available for use. This option may cause unnecessary fear or doubt in the client, which is not beneficial in addressing their concerns. Option D may also be true, but it is not a helpful response to the client's specific question. Therefore, option A is the best response as it acknowledges the complexity of prescribing drugs and addresses the client's question by providing helpful context.