Mr. H is a 55-year-old man with chronic insomnia. He takes fluvoxamine for depression. His clinician considers prescribing ramelteon to help with sleep onset. Which of the following is the most important consideration before prescribing ramelteon in this patient?
A 45-year-old woman presents to the clinic with worsening ho…
A 45-year-old woman presents to the clinic with worsening hot flashes, irritability, and trouble sleeping due to menopause symptoms. Her past medical history includes recurrent major depressive disorder and chronic migraines. She is currently prescribed: Phenelzine (an MAO inhibitor) for depression Sumatriptan as needed for migraines Multivitamin daily Her provider considers prescribing paroxetine for vasomotor symptoms of menopause. Which of the following is the most appropriate next step regarding the use of paroxetine in this patient?
Mr. K, a 60-year-old man, has sleep maintenance insomnia. Hi…
Mr. K, a 60-year-old man, has sleep maintenance insomnia. His physician prescribes zolpidem. Which best describes zolpidem’s mechanism of action?
Mr. T is a 47-year-old man with chronic insomnia characteriz…
Mr. T is a 47-year-old man with chronic insomnia characterized by difficulty falling and staying asleep. His clinician considers prescribing suvorexant. Which of the following best describes the mechanism of action of suvorexant?
Which of the following is a risk associated with long-term b…
Which of the following is a risk associated with long-term benzodiazepine use?
48. A nurse in an oncology clinic is caring for a client who…
48. A nurse in an oncology clinic is caring for a client who is undergoing treatment for cancer and reports difficulty eating due to inability to taste food. Which of the following interventions should the nurse recommend?
50. A nurse is collecting data from a client who has suspect…
50. A nurse is collecting data from a client who has suspected HIV‑associated muscle wasting. Which of the following findings supports this diagnosis?
21. What is the most common metabolic abnormality in patient…
21. What is the most common metabolic abnormality in patients with diabetic ketoacidosis (DKA)?
36. A client with cancer is experiencing hypercalcemia. Whic…
36. A client with cancer is experiencing hypercalcemia. Which dietary intervention should the nurse prioritize?
25. A nurse is caring for a client who has diabetes mellitus…
25. A nurse is caring for a client who has diabetes mellitus and reports feeling shaky and weak. The client’s blood glucose is 53 mg/dL. Which of the following actions should the nurse take?