A client is seeking a fourth refill on a prescription for benzodiazepines. The nurse is concerned that the client may be developing a tolerance for the drug. Which comment by the client would confirm this concern?

A new nurse is receiving training at a primary health clinic. The nurse asks the preceptor why so many clients who screen positive for intimate partner violence (IPV) also have chronic conditions like irritable bowel syndrome and hypertension. What is the best explanation that the preceptor can give the new nurse?

Considering Mike’s medical history what would be the best when using a local anesthetic?

For extraction of deciduous mandibular molars S and T, which injection would be best?

In reviewing Lori’s medical and dental history, what pain management options may you present to Lori for her treatment? 

What anesthetic would you choose for Billy when 50 minutes of pulpal anesthesia is required?

A public health nurse is teaching a class on how human behavior and the environment can change the way that the body reads a DNA sequence. What term describes this phenomenon?

Case #6: Tammy Patient Profile: The patient is a 48 year old female, 5’6”, 150 lbs. Blood pressure today is 182/112. Pulse is 68. No significant medical history, other than she has an ester allergy. She is not taking any medications.  Chief Complaint: “My gums bleed especially in the back. I haven’t been to a dentist or physician since 2012.” Clinical Findings: Periodontal assessment reveals 4-6 mm pockets, moderate bleeding on probing, furcation involvement. She has limited ability to open her mouth due to TMD problems. Diagnosis: Generalized Stage III Periodontitis Grade B (no grade modifiers), Caries Controlled, Deposit 3 Supplemental Notes: All pockets 4 mm or greater require local anesthesia for root planing (pulpal and soft tissue). Periodontal therapy will begin today.

Which is the true statement of the nitrous tank?

A pregnant client discloses intimate partner violence (IPV) to the nurse at a prenatal visit. The client states, “I am embarrassed because hardly anyone is abused these days.” What should the nurse tell the client concerning the number of people in the United States who have experienced some form of IPV in their lifetime?