A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first?

A mother who reports that her son vomited after a dose of methylphenidate

A client who has COPD and reports an oxygen saturation of 90%

A client who reports that her new colostomy stoma appears purple

A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis

Answer and Explanation

The Correct Answer is C

The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.

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Correct Answer is B

Explanation

The correct answer is B, euphoria. Heroin is an opioid that produces a feeling of intense pleasure, or euphoria, as it binds to opioid receptors in the brain. Other physical effects of heroin use may include constricted (not dilated) pupils, slowed breathing (not tachypnea), and droopy eyelids (not nystagmus).

Heroin is an opioid drug that affects the central nervous system, leading to a range of physical and psychological effects. One of the most common effects of heroin use is euphoria, which is a feeling of intense happiness, pleasure, and wellbeing. This is caused by the drug binding to opioid receptors in the brain, triggering the release of dopamine, a neurotransmitter associated with pleasure and reward.

Other physical effects of heroin use can include dilated pupils (Choice A is wrong because), as the drug can affect the muscles in the iris, causing them to expand. Tachypnea (Choice C is wrong because), or rapid breathing, can also occur as a result of the drug's effects on the respiratory system. Nystagmus (Choice D is wrong because), or involuntary eye movements, can be a sign of opioid intoxication, but is not as common as euphoria or dilated pupils.

A. "Clients who have STIs are legally required to provide a list of sexual partners." B. "Congress mandates the requirements for STI reporting." C. "Nurses should withhold the name of the client who has an STI during partner notification." D. "State health departments report selected STIs to the National Institutes of Health."

Correct Answer is D

Explanation

The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.

Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is

not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.

Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.

Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.

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A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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