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

Euphoria

Nystagmus

Tachypnea

Dilated pupils

Answer and Explanation

The Correct Answer is A

Choice A reason: Euphoria is a common effect of heroin use due to its action on the brain's reward system.

Choice B reason: Nystagmus, or rapid involuntary movements of the eyes, is not typically associated with heroin use.

Choice C reason: Tachypnea, or rapid breathing, is not a common finding after heroin use; respiratory depression is more likely.

Choice D reason: Pupillary constriction, not dilation, is typically seen after heroin use due to its action on the parasympathetic nervous system.

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Correct Answer is C

Explanation

Choice A reason: Modifications for activities of daily living are important for rehabilitation but are not specifically related to secondary prevention.

Choice B reason: Home health visits are part of overall care management but do not directly relate to secondary prevention strategies.

Choice C reason: Ongoing screening for high-risk conditions is a key component of secondary prevention, aiming to identify and manage conditions before they lead to further health issues.

Choice D reason: Support groups provide emotional and social support but are not a direct method of secondary prevention.

A. Neither of the child's parents are financially stable. B. The child's family has an indoor cat that sleeps with the child. C. One of the child's parents appears frightened of the other parent. D. One of the child's parents has a history of alcohol use disorder. E. The child spends the weekends with their grandparents.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Financial instability can be a significant stressor in families and may contribute to an increased risk of child abuse.

Choice B reason: Having a pet, such as an indoor cat, is not a recognized risk factor for child abuse and does not place

the child at an increased risk.

Choice C reason: If one parent appears frightened of the other, it may suggest the presence of domestic violence, which is a known risk factor for child abuse.

Choice D reason: A history of alcohol use disorder in a parent is associated with an increased risk of child abuse, as substance abuse can impair judgment and lead to harmful behaviors.

Choice E reason: Spending time with grandparents, in itself, is not a risk factor for child abuse and does not place the child at an increased risk.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?

Correct Answer is C

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A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

Correct Answer is ["A","C","D"]

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