Which of the following is not an abiotic factor?  

A client taking benzodiazepines for anxiety is also prescribed an opioid for pain. What is the critical nursing concern?

Before initiating sumatriptan, which aspect of this client’s history requires the MOST careful evaluation?

A patient with Parkinson’s disease managed with levodopa/carbidopa and selegiline develops depression. Which class of antidepressant would be contraindicated due to a high risk of a serious drug interaction with selegiline? (Select All That Apply)

A client with insomnia is prescribed zolpidem. Which instruction is most important?

A 35-year-old client with increased intracranial pressure (ICP) from a traumatic brain injury is receiving mannitol 0.25 g/kg IV over 30 minutes. The nurse notes the client’s serum osmolality is 310 mOsm/kg (normal 280-295). Which nursing action is MOST appropriate?

A patient is unable to take oral medications. He has received a loading dose of phenytoin (Dilantin) intravenously. The orders call for him to receive phenytoin, 5 mg/kg/day in three divided doses. Phenytoin is available in a vial at a concentration of 50 mg/ml. The patient weighs 90 kg. How many ml of medication will be drawn up for each dose? If needed, round to the nearest tenth. Include the units.

A client with schizophrenia on risperidone reports orthostatic hypotension and weight gain. What is the appropriate nursing action?

A 38-year-old with nicotine use disorder takes varenicline, buprenorphine-naloxone, and duloxetine. What should be monitored?

A 50-year-old with diabetic neuropathy takes tramadol 100 mg every 6 hours, metformin, and occasionally uses alcohol. What are the safety concerns?