What is the two-year relapse for patients who have completed a heroin detox program: 20-30%, 40-50%, 60-70%, or 80-90%?
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- How do beta blockers and thiazide derivatives cause hyperlipodemia? Please answer at your own words.A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…A patient with Parkinson’s disease will start taking entacapone (Comtan) along with the carbidopa-levodopa (Sinemet) he has been taking for a few years. The nurse recognizes that the advantage of taking entacapone is that a) the entacapone can reduce on-off effects.b )the levodopa may be stopped in a few days.c )there is less GI upset with entacapone.d) it does not cause the cheese effect.
- In the event a student with diabetes experiences pump failure, it is MOST important to:a) Call the pump companyb) Google the pump company’s website for instructionc) Assess student and use back up suppliesd) Call the student’s provideA 15-year-old female with a history of depression and recent relationship troubles with her close friends is brought to the emergency department by her concerned parents after they found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning, the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial scratches.Vital signs as of 1115: Blood pressure: 120/70Heart rate: 88 bpmRespiratory rate: 18 bpmOxygen saturation: 98% on room airAs the nurse prepares to address the situation, several orders from the primary care provider come in. Which of the following orders should the nurse prioritize and carry out first? A. Perform gastric lavage B. Administer acetylcysteine (Mucomyst) orally C. Start an IV with Dextrose 5% and 0.33% normal saline D. Have the patient drink activated charcoal mixed with water E. Conduct a psychiatric evaluation. F.…A 28-year-old pregnant patient has been recently diagnosed with generalized tonic-clonic seizures (GTC). Aside from the newly diagnosed epilepsy, the patient has an unremarkable medical history. No significant comorbidities or prior adverse reactions to medications have been reported. Discuss suitability of Carbamazepine, Sodium valproate, and Levetiracetam for managing her seizures. A 32-year-old male patient with moderate hepatic impairment has been newly diagnosed with generalized tonic-clonic seizures (GTC). The initial treatment with sodium valproate was unsuccessful due to rash. The patient has moderate hepatic impairment. Discuss suitability of Carbamazepine, Lamotrigine, andLevetiracetam for managing his seizures following the guidelines provided by the National Institute for Health and Care Excellence (NICE). Please answer these questions at your own easy words. Answer should be to the point specific. I will rate you positive if you do so. Please don't use AI for answering…
- A patient with bipolar disorder is prescribed lithium carbonate. The nurse monitors the patient for signs of lithium toxicity, which include: a) Hypotension and bradycardia b) Hyperactivity and restlessness c) Diarrhea and abdominal cramps d) Tremors, confusion, and excessive thirstWhat are the nursing interventions to be considered when administering the NPH insulin?(39) A 55- year old man begins taking phenytoin a seizure disorder that devel;oped following cerebral infections. At a dose of 300mg daily , his serum phenytoin concentration is 12 micrograms( normal therapeutic range is 10-20) and breakthrough seizures occur. AT a dose of 400 mg daily, serum phenytoin concentration is 28 microgram/mL and he has a symptom of toxicity, including ataxia and somnolence. Which of the following best explains the large increase in the patients serum phenytoin concentration? (A) Accidental ingestion of excess medication (B) Age-related decrease in cytochrome P450-enzyme activity (C) Age-related decrease in liver cell mass (D) Decreased glucuronidation in the liver (E) Saturation of an enzyme pathway that metabolizes phenytoin
- what cells are affected by drugs that have chronotropic effects ?Your doctor is determining which drug would best treat your ailment - a drug with a low dissociation constant and a few significant side effects or a drug with a high dissociation constant and many mild side effects. There's no perfect choice, so they go with the first choice. What does this mean for you? A) You'll need a relatively low dose of the drug to be effective and chances of side effects are low B) You'll need a relatively high dose of the drug but the chances of side effects are low. C) You'll need a relatively high dose of the drug but the side effects are not expected to be harmful D) You'll need a relatively low dose of the drug but the risk of side effects is high.Determine the number of grams of medication to dispense in the following dosing regimen: Ibuprofen 800 mg - take one tablet tid for 5 days.