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
Evaluating the client’s home environment is the priority assessment for the case manager to perform. This will help determine if the client’s home is safe and accessible for them with their new prosthesis.
Choice A is not the correct answer because determining whether the client is eligible to go to a skilled nursing facility is important but not the priority.
Choice C is not the correct answer because collaborating with a prosthetist to teach the client about care of the prosthesis is important but not the priority.
Choice D is not the correct answer because asking whether the client’s insurance will cover home health services is important but not the priority.
Correct Answer is D
Explanation
The enzyme-linked immunosorbent assay (ELISA) tests a patient’s blood sample for HIV antibodies1.
Choice A is not the correct answer because the test results are not accurate 24 hours after HIV exposure.
It can take several weeks for the body to produce enough antibodies to be detected by an ELISA test1.
Choice B is not the correct answer because the test does not monitor the progression of HIV.
Choice C is not the correct answer because a positive result does not indicate initiation of immunoglobulin administration.
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