What are the importance of the development of a thorough differential diagnosis for each patient?​

Anurse is caring for a client who has nicotine use disorder and asks about taking varenicline. the nurse should identify that which of the following conditions is a contraindication for this medication? a. rheumatoid arthritis b. copd c. anorexia nervosa d. major depressive disorder

Why do you think people write one way and speak to people a different way?

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.