A patient has Medicare as their primary insurance and Medicaid as their secondary insurance. Medicare pays $125 on a service and lists $25 as patient coinsurance. They've automatically forwarded the remittance to Medicaid, yet Medicaid hasn't paid. When you inquire about Medicaid's payment, they inform you that they allow only $100 for that service. What do you do?

Answers

Answer 1

Answer:

In this situation, you would need to contact Medicare and Medicaid to discuss payment discrepancies. In addition, you may need to submit an appeal to Medicare to get the total amount of the service covered.

Explanation:


Related Questions

Why is it important to know the importance of nutrition?

Answers

Nutrition is a critical part of health and development. Knowledge of nutrition allows an individual to have a healthy body. A healthy body helps to lead a healthy lifestyle.

What is nutrition?

Nutrition is the biochemical and physiological process by which an organism uses food to live. It gives living things nutrients that they can metabolize to make energy and chemical structures. A lack of adequate nutrients causes malnutrition.

Why is nutrition important for our body?

A healthy diet throughout life promotes healthy pregnancy outcomes, supports normal growth, development and ageing, helps to maintain a healthy body weight, and reduces the risk of chronic disease leading to overall health and well-being.

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Why is CO2 emissions a problem?

Answers

The consequences of greenhouse gases on the environment and human health are extensive.By trapping heat, they contribute to climate change and respiratory diseases brought on by air pollution and smog. pollution.

Why is the problem of carbon emissions?

Given that carbon dioxide is the ghg with the largest amounts of atmospheric emissions, carbon emissions have a substantial impact on the world.Of course, this results in climate change and global warming. Coal, oil and gas, and oil are examples of fossil fuels that when burned emit carbon dioxide into the environment.

Why does CO2 cause environmental problems?

Climate change is brought on by the planet's atmosphere becoming too heated from carbon dioxide.In fewer than 200 years, human activity has increased the atmosphere's atmospheric carbon content by 50%.

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Carbon dioxide (CO2) emissions have become a major issue due to the effects it has on the environment. It is a greenhouse gas and has contributed to climate change and global warming.

CO2 is released into the air through various activities, including burning fossil fuels, deforestation, industrial processes, and transportation. CO2 emissions are a problem, it is responsible for trapping heat in the atmosphere, leading to an increase in global temperature. As a result, it has contributed to the melting of glaciers and ice caps, rising sea levels, and extreme weather conditions, including hurricanes, droughts, and floods.

CO2 emissions have also led to ocean acidification, which has a negative impact on marine life. The increased amount of CO2 in the atmosphere is absorbed by the oceans, making them more acidic. This change in the ocean’s chemistry can result in the death of coral reefs and marine organisms that are unable to adapt to the changing conditions. It is important to note that carbon dioxide is not the only greenhouse gas, but it is the most significant one. Other greenhouse gases include methane, nitrous oxide, and fluorinated gases. However, CO2 is the most abundant and has the longest lifespan in the atmosphere.

In conclusion, CO2 emissions are a problem because of the impact they have on the environment. The increase in global temperature, rising sea levels, and extreme weather conditions are a few of the many effects that are caused by the release of carbon dioxide. Therefore, it is essential to take measures to reduce CO2 emissions to protect our planet and ensure a sustainable future for generations to come.

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How has physical activity changed over the years?

Answers

According to a survey, people in the US are just as fit and healthy now as they were in 2021.But there are differences between particular racial groupings, across income levels, and between those who have ongoing health problems.

What alterations have been made to kids' physical activity over time?

The results also show that activity levels considerably decreased during the first 2.5 years, peaking at rates that were 41% higher than those of 3-year-olds by age 5.5.Light and vigorous activity levels are now somewhat rising, although they are still much lower than they were as three years old.

What is the exercise's history?

Physical exertion was a crucial component of prehistoric people's everyday religious, social, and cultural expression.There was always an abundance of food, which left plenty of leisure for rest & physical recreation.

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Which food should be stored above all others?

Answers

Top or highest shelf for cooked and ready-to-eat foods must be stored.

Raw and cooked foods should be kept separate in the refrigerator. Bacteria from raw food could indeed contaminate chilly cooked food, and if the food is not thoroughly cooked again, the bacteria could indeed multiply to dangerous levels. Avoid refrozen thawed food as a general rule. Food poisoning bacteria are more likely to be present in food that has been frozen a second time. The risk is determined by the state of the food once frozen, as well as the way the food is treated between thawing as well as refreezing. Once thawed, raw food should not be refrozen.

Raw food should always be stored in sealed as well as covered canisters at bottom of the fridge. Keep raw foods on top of cooked foods to prevent liquids like meat juices from dripping down as well as contaminating this same cooked food.

The temperature in your refrigerator should be 5 °C or lower. The minimum temperature should not be higher than -15 °C. Check the temperature of your refrigerator with a thermometer.

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Why does CO2 play such an important role in global temperature regulation?

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A heat-radiating and heat-absorbing gas. Unlike oxygen or nitrogen, which release heat away from the Earth's surface, greenhouse gases collect heat from the atmosphere and then release it in all directions, including back toward the planet's surface.

How does CO2 contribute to preserving Earth's temperature?

One of these gases is carbon dioxide (CO2). This indicates that it has the same effect as greenhouse glass, trapping heat and warming the interior. This effect is significant because, without the CO2 that occurs naturally in the atmosphere, Earth may be too chilly for life to survive there.

Why is CO2 such a big deal?

For land-based plants, CO2 is a vital nutrient. Since there has been a relative CO2 famine in the Earth's biosphere for many centuries, the current rise in CO2 levels has had a measurable, advantageous impact on plant life.

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Positive parent–adolescent communication about sex has been linked to a(n)?

Answers

Positive parent–adolescent communication about sex has been linked to a decreased risk ofcontracting STIs.

Sex comes as an expression of the love that some shares on a deeper level through the body.

Sexually transmitted infections (STIs) are unfold preponderantly by unprotected sexual contact. Some STIs also can be transmitted throughout physiological condition, birth and breastfeeding and thru infected blood or blood product. Some STIs are often cured. different STIs and blood-borne viruses, like herpes and HIV, cannot be cured, however they'll be treated effectively. Vaccines are obtainable for serum hepatitis and HPV which might cause venereal warts. to scale back your risks of obtaining infected, it is important to use con.doms.

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When attempting to use the maxing out method to assess muscular strength you would need a calculator chart or online resource?

Answers

To make the appropriate calculations when attempting to apply the maxing out method to gauge muscle strength, you would need a calculator, chart, book, or online resource.

What is the maximization technique?

The max-out, back-off program basically entails building up to a top low rep set in a specific exercise, lowering the weight, then performing a number of back-off sets with that same exercise. During the back-off sets, the number of reps per set is often increased.

How do you measure a muscle's maximum strength?

A person's ability to perform an exercise (such push-ups or kettle bell snatches) for the most repetitions or for the longest period of time possible is measured.

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What is FDA registered vs approved?

Answers

To be clear, all medical devices offered for sale in the United States need to be "FDA Registered," or registered with the FDA. A Class I medical device must therefore be FDA Registered. The manufacturer cannot assert that a device is approved or cleared if it is just FDA registered.

What is a nutritious diet?

Healthy foods provide the nutrition your body requires to stay healthy and preserve its energy. Plenty of carbs and minerals should be included in a healthy, balanced diet.

What advantages does eating provide for your health?

From a balanced meal, you can acquire all the energy you require to keep active all day. nutrients you require for growth and repair, keeping you strong and healthy, and lowering the likelihood of food-related illness.

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1.What is a genetic disease? What is the difference between a genetic disease (DNA) and a disease caused by a pathogen ( bacteria or virus) or by lifestyle (smoking obesity)? List examples of 3 genetic disease, 3 example of a disease from a pathogen .

Please help

Answers

Answer:

A genetic disease is a condition caused by a change or mutation in an individual's DNA. This can be inherited from a person's parents or it can be a new mutation that occurs in the DNA of an individual. Genetic diseases can be caused by a single gene mutation or by a chromosomal abnormality, which is a change in the structure or number of chromosomes.

The main difference between a genetic disease and a disease caused by a pathogen or lifestyle is the source of the condition. A genetic disease is caused by a change in an individual's DNA, while a disease caused by a pathogen is caused by an infection with a bacterium or virus. A disease caused by lifestyle factors, such as smoking or obesity, is the result of environmental influences and individual behavior.

Examples of genetic diseases include cystic fibrosis, sickle cell anemia, and Huntington's disease. Examples of diseases caused by pathogens include the flu, tuberculosis, and malaria.

What is the importance of giving you the amount of different nutrients and substances in food?

Answers

Food is nourished by nutrients. Nutrients include water, vitamins, minerals, fiber, proteins, carbs, and fats.

Why is it vital to be aware of the many nutrients included in food?

When a nutrient is deficient, it manifests as a different type of shortage due to the extremely varied roles that different nutrients play in the body. Malnutrition can occur if you are completely deficient in all nutrients, for as by going without food or drink.

Why is it crucial that we receive the right kind and quantity of nutrients that our bodies require?

Having a healthy diet can: lowering the risk of certain diseases, including as osteoporosis, heart disease, diabetes, stroke, and some malignancies. cut back on high blood pressure, decreasing high cholesterol.

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Some of the important reasons for countries to cooperate in addressing global health issues are?

Answers

Some of the important reasons for countries to cooperate in addressing global health issues are achieving better health outcomes and aspects of global health are global public goods.

Fundamentally, world health is concerning achieving higher health outcomes for vulnerable populations and communities round the world. those that study or apply world health work to eliminate health disparities in low-resource settings round the world through analysis, education and cooperative intervention.

Global public goods are those whose advantages have an effect on all voters of the globe. They cover several aspects of our lives: from our natural surroundings, our histories and cultures, and technological progress right down to everyday devices like the system of weights and measures.

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When chronically ill women are married, _____ unlike their husbands.

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When chronically ill women are married, unlike their husband they are more likely to be institutionalized for their illnesses.

In clinical and psychology, institutionalization or institutional syndrome refers to deficits or disabilities in social and life skills, that develop when an individual has spent a protracted amount living in mental hospitals, prisons or different remote establishments.If somebody is institutionalized, they're sent to remain in a very special hospital or home, sometimes for a protracted amount.

Being chronically ill is defined loosely as conditions that last one year or additional and need current medical attention or limit activities of daily living or each. Chronic diseases like cardiovascular disease, cancer, and polygenic disease area unit the leading causes of death and incapacity within the us.

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How would you recognize a good source for nutrition information?

Answers

Check to see if the article's original sources of information are listed to identify a reliable source of nutrition information. Finding reliable nutrition information entails verifying that the claims made in the articles are backed up by studies from the scientific community.

What is the importance of nutrition information ?

The information on food labels is meant to educate people about the options available to them. The material on a package's front, back, and sides tells us what the item contains and offers suggestions for choosing processed foods that are healthier.

According to the given question:

Look for items that have higher concentrations of the nutrients you want to consume more of and lower concentrations of the nutrients you might want to limit. You can use the label to support your individual dietary requirements.

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What is laughter therapy used for?

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Answer:

A type of therapy that uses humor to help relieve pain and stress and improve a person's sense of well-being. It may be used to help people cope with a serious disease, such as cancer. Laughter therapy may include laughter exercises, clowns, and comedy movies, books, games, and puzzles.

Explanation:

What are the 7 main components of fitness?

Answers

Cardiorespiratory endurance, body composition, muscular strength, muscular endurance, and flexibility are all aspects of physical fitness.

Which 7 elements make up fitness?

Physical fitness is made up of seven different elements: balance, coordination, agility, speed, power, and response time. It promotes weight loss, strengthens bones and muscles, keeps the heart and lungs healthy, and helps fend off chronic sickness. The four basic facets of physical fitness include maintaining a healthy body composition, muscular strength and endurance, cardiorespiratory endurance, and flexibility.

What constitutes fitness in its most basic form?

The five components of physical fitness include flexibility, muscular strength, muscular endurance, and cardiorespiratory endurance. All of the health-related aspects of fitness should be addressed in a well-rounded exercise program.

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Is the most relevant and reputable source to find information about nutrition?

Answers

The best sources of trustworthy information on matters relating to food and nutrition are registered dietitians, certified nutritionists, and Extension agents.

Also Nutrition.gov is a website sponsored by the USDA that provides reliable information to assist you in making healthy food choices.

What is nutrition?

The biochemical and physiological process by which an organism uses food to sustain its life is known as nutrition. It supplies nutrients to living things, which they can then metabolize to produce energy and chemical structures. Malnutrition results from a lack of adequate nutrients.

According to the given question:

The best sources of trustworthy information on matters relating to food and nutrition are registered dietitians, certified nutritionists, and Extension agents.

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What kind of infection causes facial swelling?

Answers

Infection or an allergic that can also result in hives, asthma, and vomiting can cause facial edema. Dehydration, hormone imbalances, and facial physical damage are among additional factors that can  to face edema.

Can a bacterial infection produce facial swelling?

The most likely cause of the abrupt facial swelling was a bacterial skin infection, which was the most plausible conclusion. Tenderness, erythema, and temperature are further characteristics of bacterial skin infections, and all of these symptoms were present in this patient.

What causes a sudden swell in the face?

Foods like too many carbohydrates, too much salt, and alcohol can all contribute to face edema. Because your adrenal glands release more adrenaline than usual while you're feeling anxious, stress may also cause your cheeks to enlarge.

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What nerve is responsible for feeling a toothache?

Answers

Nerve that is responsible for feeling a toothache is : origin of the trigeminal nerve. This largest of the cranial nerves conveys sensory information from  teeth, gingiva, mucous membranes of the head and jaws.

What is trigeminal nerve responsible for ?

The trigeminal nerve is the part of the nervous system that responsible for sending pain, touch and temperature sensations from face to your brain.

Trigeminal nerve is a large and three-part nerve in the head that provides sensation. One section that is called the mandibular nerve, involves motor functions to help you chew and swallow.

As the pain caused by trigeminal neuralgia is often felt in the jaw, teeth or gums, therefore many people with this condition visit a dentist before going to a GP.

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What is considered a chronic disease?

Answers

Chronic disease is a disease that has a high level of death percentage and needs medical care very quickly.

Chronic illness is broadly defined as a condition lasting more than a year that requires ongoing medical care and/or limits activities of daily living. Chronic diseases such as heart disease, cancer, and diabetes are leading causes of death and disability in the United States. The most common chronic diseases are cancer, heart disease, stroke, diabetes, and arthritis. Chronic diseases are long-term conditions that can usually be controlled but cannot be cured. People with chronic diseases often deal with everyday symptoms that affect their quality of life and suffer acute health problems and complications that can shorten their life expectancy.

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You are placing AED pads
on a person in cardiac
arrest. What is the correct
placement for the pads?

Answers

Place pads only on bare skin

Put one of the right side of the check right below the collar bone, above pec

Put the other on lower left side of the chest, below pec

What are the five methods of preserving fish?

Answers

Typically core processes include fish dressing, freezing, glazing, roe processing, milt processing, salting and smoking.

What fish preservation technique is best?

One of the most crucial techniques for processing and preserving seafood is freezing. Blast freezing, plate freezing, immersion freezing, and spray freezing are the primary freezing techniques employed. The benefits of freezing include minimal quality loss and little modification to the flesh.

What kind of seafood preservation is best?

One of the most significant fish processing and preservation techniques is freezing. Blast, plate, immersion, and spray freezing are the four primary freezing techniques employed. Freezing has several benefits, including minimal quality loss and little change to the flesh.

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What are the chances of getting salmonella from raw fish?

Answers

About 13% of the sea food has been tested positive for salmonella. These include both the imported seafood and the domestic seafood.

One of the top five high-risk foods for food poisoning is seafood. This is particularly valid for seafood that is uncooked or raw. If improperly cooked, seafood can contain Salmonella, which can lead to salmonellosis in those who eat it. According to FSANZ, if correct food handling, cleaning, and sanitizing protocols are not carefully adhered to, there is also the risk of contaminated seafood creating cross-contamination on equipment or inside a building.

Salmonellosis is a severe food-borne illness that can manifest as fever, headache, diarrhea, abdominal discomfort, nausea, and vomiting. Salmonella has an incubation period of 8–72 hours and symptoms that extend for 2–7 days, according to an FSANZ report on the illness. Children, the elderly, the ill, and those with compromised immune systems are vulnerable individuals (those in high-risk groups) who are more susceptible to Salmonella and may have more incapacitating symptoms from the infection. Sometimes, it can even be fatal. This is why safeguarding against Salmonella infections in the food business is so important.

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How do you detect infestation?

Answers

To detect infestation, one can use active mode or passive mode.

There are two introductory modes of detecting infestations active, where someone inspects likely areas and objects; and passive mode, where a trap collects pests or indicates their presence. The ultimate mode, still, still requires someone to check the traps, to record the findings, and to follow up on the problem.

An infestation is a breeding population of insects. ” Adult manly and womanish pests with access to food, water, and a place to hide that could find each other and make babies. Infestation refers to the state of being numerously overrun or raided by insects or creatures in large figures as to beget damage.

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What is the CDC recommendation for the influenza vaccine for health care personnel?

Answers

Every patient should have their doctor provide the best recommendation possible for immunizations. They use the SHARE technique to make a compelling case for vaccination.

Herd immunity: what is it?

Crowd immunity It also goes by the name "population immunity." Herd immunity, which occurs whenever a population is immune to an infectious disease through either vaccination or immunity gained by prior infection, is an indirect kind of protection. The disease is less likely to spread to individuals who cannot receive the vaccination, those who are ill, or those with compromised immune systems, if enough people receive it.

Immunity

Immunity is the body's capacity to fend off a particular infectious disease. When immune system cells are exposed to a pathogen or hazardous organism, like a virus or bacteria, it develops.

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What drug is a central nervous system depressant?

Answers

The presynaptic nerve terminal and the postsynaptic neuron are the two locations where opioids operate. Opioid effects post-synaptically are often inhibitory.

Are neurotransmitters increased by opioids?

Opioid receptors such as mu, delta, and kappa are how opioids mediate their effects. Opioid receptors are typically inhibitory at the neuronal level, decreasing neurotransmitter release presynaptically and hyperpolarizing neurons postsynaptically.

Who binds to opioid receptors in the brain?

Enkephalins and endorphins are two small peptide neurotransmitters that act as endogenous inhibitors of pain signals. They bind to opioid receptors in the nervous system's pain-signaling cells.

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Why are many types of food stored in refrigerators?

Answers

To prevent bacteria, molds and yeast from growing at a temperature that would be favorable for them, we refrigerate food. One of the three favorable circumstances for microbial activity are prevented by the moisture-control features found in many refrigerators, which also aids in delaying food deterioration.

What is bacteria?

Bacteria are common, largely free-living organisms that frequently only have one biological cell. They make up a significant portion of the prokaryotic microbial kingdom. Bacteria, which are typically a few micrometers long and were among the first living organisms to appear on Earth, are found in the majority of its habitats.

What is biological cell?

The smallest unit in biology that can sustain life on its own and makes up all living things as well as the body's tissues. The cellular membranes, the nucleoli, and the cytoplasm are the three main components of a cell. The substances that enter and leave the cell are governed by the cell membrane, which encloses the cell.

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What is required in the florida employee health care access act?

Answers

In the Florida employee health care access act, employers with 50 or more full-time employees are required to offer some form of health insurance benefit.

In Florida, as a little business owner if you provide medical coverage, you'll need to satisfy the subsequent rules for providing insurance to staff. The insurance coverage should be offered to all or any full-time staff. Typically, full-time staff are outlined as those that work thirty or a lot of hours per week on the average.

Health insurance is a kind of insurance that covers medical expenses that arise because of associate sickness. These expenses might be associated with hospitalization prices, price of medicines or doctor consultation fees.

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A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium?

a. Slow onset
b. Delirium has an acute onset. Dementia is a slow, progressive decline.
c. Aphasia

Answers

The evaluation results confirm the nurse's suspicions that the patient may be experiencing delirium, which is characterized by extreme distractibility and ease of distraction.

Psychotic disorders are the most typical sort of hallucination among delirium patients. allowing enough time for a customer who verbally abuses you. The CAM diagnostic method assesses delirium's four main characteristics: Acute Mental Status Change with Fluctuating Course, Inattention, Disorganized Thinking, and Altered Level of Awareness are the first three symptoms.The evaluation results confirm the nurse's suspicions that the patient may be experiencing delirium, which is characterized by extreme distractibility and ease of distraction. Delirium often develops over a one- to two-day period, and symptoms frequently change significantly during the day. On the other hand, dementia symptoms develop gradually over years or even months. Therefore, if changes or signs appear quickly, this might indicate delirium. Mental illness with Lewy bodies.

(A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse's suspicion of delirium?

Slow onset

Delirium has an acute onset. Dementia is a slow, progressive decline.

Aphasia

Aphasia is a manifestation of dementia.

Confabulation

Confabulation is a manifestation of dementia.

Easily distracted

Extreme distractibility is a hallmark manifestation of delirium.)

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Why is important safety important?

Answers

An environment that is safe and healthy for workers can lower injury and illness costs, lower absenteeism and turnover, boost quality and productivity and improve employee morale.

What do you mean by an environment?

Everything in our environment affects us. Whether they are living or not is up to you. It consists of natural forces such as chemical and physical ones. Environments are where living things exist. They are continually interacting with it and modifying their behaviour to fit the circumstances.

What is living things?

Any organism or life form that exhibits or possesses the qualities of life or being awake is referred to as a living thing. The basic traits include having an organised approach, requiring energy, reacting to stimuli and changing their environment, and having the ability to reproduce, grow, move, metabolize, and die.

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A nurse is admitting a client who has major depressive disorder and a new prescription for Tranylcypromine. Which of the following over-the-counter medications that the client reports taking should alert the nurse to a potential adverse reaction?

A) Lansoprazole
B) Naproxen
C) Magnesium hydroxide
D) Phenylephrine

Answers

D) Phenylephrine is the over-the-counter medications that the client major depressive disorder reports taking should alert the nurse to a potential adverse reaction.

Clients who are taking phenylephrine, an antidepressant medicinal drug, shouldn't take adrenergic drug and alternative over-the-counter medications for sinus congestion, colds, or allergies because of their actions on the sympathetic systema nervosum, which might lead to severe cardiovascular disease.

Tranylcypromine is employed to treat depression in those that haven't been helped by alternative medications. MAOI is during a category of medicines referred to as MAO inhibitors (MAOIs). It works by increasing the amounts of sure natural substances that ar required to take care of mental health.

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