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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Teaching parenting skills is a primary prevention strategy as it aims to prevent problems before they occur by providing new parents with the knowledge and skills they need.
Choice B reason: Blood pressure screenings are a form of secondary prevention, aimed at early detection and management of existing health issues.
Choice C reason: Food safety education is a primary prevention measure that helps prevent foodborne illnesses by informing individuals about safe food handling practices.
Choice D reason: Encouraging healthy adolescents to incorporate exercise into their daily activities is a primary prevention strategy that promotes long-term health and prevents chronic diseases.
Choice E reason: Smoking cessation programs are a primary prevention strategy as they aim to prevent the onset of smoking-related diseases by helping individuals to quit smoking.
Correct Answer is A
Explanation
Choice A reason: Arranging for a home health nurse is often the first step in discharge planning for a client with complex needs such as alcohol use disorder and cirrhosis, to ensure continuity of care and support the client's transition from hospital to home.
Choice B reason: While providing information on self-help groups is important, it is not typically the first action taken during discharge planning.
Choice C reason: Contacting a social worker is an important part of discharge planning, but it usually follows the arrangement of immediate post-discharge medical care.
Choice D reason: Determining home safety measures is crucial, but it generally comes after arranging for necessary medical follow-up care.
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