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A clinician is monitoring a patient on valproic acid therapy. The patient has normal total drug levels but continues to experience seizures. Which of the following should be considered next?

Explain how the binding of drugs to plasma proteins affects their distribution within the body. (Ensure to list at least one protein by name.) To meet expectations, your response should:Provide accurate answers that directly address the question (3 points)Follow a clear and logical structure so your ideas are easy to follow (1 point)Be concise and to the point, avoiding unnecessary details (1 point)

A 35-year-old male is brought in by police for erratic and violent behavior. He is disoriented, has vertical nystagmus, and is insensitive to pain. PCP is suspected.Which of the following best describes the toxic effects of PCP?

This is the rough draft of your writing for the final writing content. It is part of the required content for the final writing. 

A patient without diabetes or chronic kidney disease has an average BP reading of 132/78 mm Hg after 3 months of exercise and diet modifications. Which management strategy will be a priority for this patient?

A 25-year-old patient presents to the emergency department after ingesting a large quantity of acetaminophen. Lab tests show elevated liver enzymes.Which organ is primarily affected by acetaminophen overdose?

Sam is taking methylphenidate (Ritalin) for ADHD. On the next visit Sam’s parents tells the primary care NP that Sam has had increased behavior problems and delusional thinking. He talks about seeing things that we don’t see.  The NP should:

Claire is a 25 yo female C/O fishy odor, vaginal discharge for 2 weeks. On exam, the discharge appears gray-white and the saline wet mount of a“fried egg with a lot of pepper” appearance. You diagnose Bacterial vaginosis. The CDC recommended treatment is:

Explain the most significant security risk when using wireless networking (e.g. Wi‑Fi), compared to using wired networking (e.g. Ethernet in a local area network).

Oliver is a 5-year-old boy with atopic dermatitis that is refractory to treatment with hydrocortisone acetone 1% cream. The primary care NP should prescribe: