The population health nurse suspects that a community member was facilitated by the health care system to develop substance abuse. What information in the client's history caused the nurse to make this determination?
1. Attending classes to complete a GED.
2. Cancelling routine physical examinations.
3. Employed part time as a food service worker.
4. Receiving prescriptions for opioids to treat back pain.
Answer: 4
Explanation: 4. Many of the psychoactive substances with abuse potential originated within the health care system. Opioids are the drug of choice for relief of severe pain. Attending classes for a GED, cancelling physical examinations, and part-time employment are not health care system determinants for substance use.
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A patient taking montelukast (Singulair) for the last 2 months has the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
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