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","E","F"]
Explanation
Choice A - Hearing Findings: Elevated lead levels can affect the auditory system, leading to hearing problems which can be a long-term complication.
Choice B - Eating History: While the child's picky eating behavior was noted, it is not a direct long-term complication of elevated lead levels.
Choice C - Behavior Findings: Lead exposure can result in behavioral issues, including hyperactivity and aggression, which are potential long-term complications.
Choice D - Vital Signs: The vital signs provided do not indicate long-term complications related to lead exposure.
Choice E - Speech History: Developmental delays, including speech delays, can be a long-term complication of elevated lead levels.
Choice F - Attention Findings: Lead exposure can lead to attention-related issues, such as attention deficit hyperactivity disorder (ADHD), which is a long-term complication.
Correct Answer is C
Explanation
Choice A reason: Preparing for a lumbar puncture is important for diagnosis but not the immediate first action for a suspected case of bacterial meningitis.
Choice B reason: Inserting an IV catheter is a preparatory step for treatment but does not address the immediate need to prevent transmission.
Choice C reason: Initiating isolation precautions is the first and most critical action to prevent the spread of infection, as bacterial meningitis can be highly contagious.
Choice D reason: While managing fever is important, it is not the first priority before ensuring the safety of other patients and healthcare workers.
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