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Which of these clients would be at greatest risk for acetaminophen hepatoxicity even at therapeutic doses?

The client with seizure disorder is well controlled with phenytoin. He complains of double-vision (diplopia) and on physical exam, the nurse practitioner notes that he has abnormal eye movements and gait is unsteady. What is the next best intervention by the prescriber in response to this presentation?

A 7-year-old boy is brought to the clinic by his mother. He has had 3 days of watery, non-bloody diarrhea, low-grade fever (38.2°C), body aches, and rhinorrhea. His mother states that a neighbor recommended giving him Pepto-Bismol (bismuth subsalicylate) and asks if this is safe. The child has no significant past medical history and is up to date on vaccinations. Which of the following statements is TRUE regarding the use of bismuth subsalicylate in this patient?

What clinical effect would be expected after starting erythromycin in a client with atrial fibrillation who has been taking a steady dose of warfarin?

Which medication has the lowest risk of hypoglycemia?

A 62-year-old woman with chronic constipation is started on psyllium 5 g twice daily. She asks the nurse practitioner how she should take this medication. Which of the following instructions is MOST important to include in patient counseling?

Which of these drugs is classified as an atypical antipsychotic?

A nurse practitioner is counseling a patient who smokes 25 cigarettes per day. Which evidence-based regimen would have the best effectiveness for smoking cessation?

An 18-year-old woman with asthma is started on formoterol twice daily. She reports improved breathing but continues to have intermittent wheezing and nighttime symptoms. According to GINA guidelines, what is missing from her regimen?