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What is the primary target of COVID-19 mRNA vaccines?

You have a PMHNP co-worker who is new to practice. She asks if you will consult on one of her patients. She inherited a patient from a psychiatrist in town that has since retired. The patient is a 52-year-old male that has a history of bipolar disorder and is currently taking: depakote ER 1000 mg twice daily, lamotrigine 200 mg daily, abilify 30 mg daily, zyprexa 20 mg daily, seroquel 100 mg daily at night and clonazepam 1 mg three times daily. She notes the patient “looked like he was drooling” during the appointment and was concerned with all the medications that he was on and interactions. When looking at the combination of depakote and lamotrigine what is your best response:

You have a new patient intake in your office and the patient is confused regarding the difference between bipolar I and bipolar II. Which statement is the most accurate between the differences: 

Mary is a 52-year-old female that comes into the clinic as a referral from her PCP. She has been on fluoxetine, sertraline, escitalopram and duloxetine for her anxiety and it made her symptoms worse and more irritable. When talking with her she has had periods in her life where she was on top of the world. Could do anything and felt like she was the best out there. Her thoughts would race, she would be more talkative, did not need to really sleep due to all the ideas that she was having. She has had this last greater than 4 days but no more than 6 days. The symptoms did not greatly impact her life and was able to hold a job but completely noticeable to others. She will then hit a major depression that is debilitating and has had to take off of work due to the depressive episodes. What criteria does she fit best: 

The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker, has hypertension, and smokes 1/2 to 1 pack of cigarettes per day. What teaching points should the nurse include in discharge instructions? (Select all that apply.)

A 62-year-old is diagnosed with early right knee osteoarthritis based on X-ray. The patient reports minimal (1 out of 10) pain. Which of the following is the BEST first-line option for this patient? 

A nurse is assessing a client with left-sided heart failure. For which clinical manifestations should the nurse assess? (Select all that apply)   

The attached graphs show the responses to a prolonged exercise trial. The blue line the untrained sedentary female. The pink line is the same female after 1 year of endurance training.  1) Describe how carbohydrate metabolism changed after 1 year period of endurance training? Use the graph and your knowledge of physiology to justify your answer. (2pts) 2) Describe how fat metabolism changed after 1 year period of endurance training?  Use the graph and your knowledge of physiology to justify your answer.(2pts) Metabolic Adaptations Worksheet Graphs-1.pdf

A 35-year-old woman has sudden painful loss of vision in her right eye. She comes to your office the next day, and a neuro-ophthalmologic examination documents 20/60 vision in the right eye, with a depressed monocular visual field. In the left eye, vision is 20/20 and the visual field is normal. Funduscopic examination shows optic disc swelling and an afferent pupillary defect of the right eye; the left eye is normal. Which of the following is the most likely diagnosis?

YOU ARE ALMOST DONE WITH YOUR EXAM. In order to complete your assignment, you must: 1. Your first page of your work/technique submission must include your first and last name as well as your photo ID placed on the top right hand corner of your paper to be valid. [photo] 2. Use your phone and the FastScanner app to take pics of the full page of work and save as a pdf. [pdf] 3. Upload your document within 15 minutes in the Exam #2 Uniform & Normal Distributions, Estimates and Sample Sizes Work/Technique Submission directly after this exam. [valid]