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Aclient, prescribed dextroamphetamine for attention deficit hyperactivity disorder (adhd), has developed a common adverse effect of the medication since beginning therapy. which initial intervention should the client be encouraged to implement? a. increase fiber intake. b. take an over-the-counter (otc) laxative daily. c. take metronidazole. d. take diphenoxylate hydrochloride.

Which of the following human diseases is caused by a virus that requires reverse transcriptase to transcribe its genome inside the host cell? a) herpesb) aidsc) smallpoxd) influenza

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy