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?
Tachypnea.
Dilated pupils.
Euphoria.
Nystagmus.
The Correct Answer is C
The nurse should expect the client to exhibit euphoria after injecting heroin 1 hr ago. Euphoria is a common effect of heroin use and is characterized by intense feelings of happiness and well-being.
Choice A is not the best answer because tachypnea, or rapid breathing, is not a common effect of heroin use.
Choice B is not the best answer because heroin use typically causes pupils to constrict, not dilate.
Choice D is not the best answer because nystagmus, or involuntary eye movement, is not a common effect of heroin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should include in the teaching that household contacts will receive prophylactic antibiotics 1.
This can help prevent the spread of pertussis to others.
Choice A is not the correct answer because transmission may not be limited by herd immunity 2.
Choice C is not the correct answer because pertussis is most contagious before the rash develops, during the catarrhal stage.
Choice D is not the correct answer because there is no evidence to suggest that a dehumidifier should be placed beside the child’s bed.
Correct Answer is D
Explanation
Before developing a health-screening program for clients who are at risk for hypertension, the nurse should first assess the community’s need for such a program. Conducting a survey to identify the community’s need for hypertension screening is an important first step in this process.
Choice A is not the answer because determining the number of clients referred for treatment of hypertension is not the first step in developing a health screening program.
Choice B is not the answer because researching best practices for the treatment of hypertension is not the first step in developing a health-screening program.
Choice C is not the answer because applying for funding to conduct hypertension screening is not the first step in developing a health-screening program.
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