A nurse in a clinic is caring for an adolescent.
The adolescent is at greatest risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The adolescent is at greatest risk for: i. Impaired social interaction as evidenced by the adolescent's ii. discourteous behavior.
Rationale: The adolescent's behavior, such as sneaking out, roaming the neighborhood alone, and not following teachers' directions, indicates difficulties in interacting appropriately within social contexts and respecting boundaries, which can lead to impaired social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
To effectively manage the client's care in moderate Alzheimer's disease and assign appropriate tasks to an assistive personnel (AP), the nurse should consider the following tasks:
Target 1: administer memantine: Memantine is a medication commonly used in the management of Alzheimer's disease to help improve cognitive function and behavior. Administering medications falls within the scope of practice for an assistive personnel under the supervision and direction of a nurse.
Target 2: continue bowel training program: The client started a bowel training program, which involves specific protocols to manage bowel movements and maintain regularity. Assistive personnel can assist in ensuring the program is continued consistently, including documenting bowel movements and any associated issues, which supports continuity of care and adherence to prescribed therapies.
Correct Answer is D
Explanation
A. Permanent short-term memory loss: While certain substances, particularly chronic alcohol use, can lead to memory impairment, permanent short-term memory loss is not a typical complication of heroin use. Heroin primarily affects the respiratory system and can lead to other health risks such as overdose and infection. Therefore, this choice is incorrect.
B. Nasal septum perforation: Nasal septum perforation is typically associated with the intranasal use of substances like cocaine, which can damage the nasal tissues. Heroin is more commonly injected or smoked, and nasal perforation is not a primary health risk associated with its use. Therefore, this choice is incorrect.
C. Acute pancreatitis: Acute pancreatitis is commonly associated with excessive alcohol consumption rather than heroin use. Heroin primarily affects the central nervous and respiratory systems rather than the pancreas. Therefore, this choice is incorrect.
D. Respiratory depression/arrest: Heroin use poses a significant risk of respiratory depression and arrest, which can be fatal. It depresses the central nervous system and slows down breathing, potentially leading to severe hypoxia and death, especially in the case of overdose. This choice is correct.
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