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 A
Explanation
An adult client who is short of breath should receive priority care because shortness of breath can be a sign of a life-threatening condition such as respiratory distress.
Choice B is incorrect because while an infant crying may indicate discomfort or distress, it is not necessarily a sign of a life-threatening condition.
Choice C is incorrect because while a head abrasion may require medical attention, it is not necessarily a life-threatening condition.
Choice D is incorrect because while a fractured arm may require medical attention, it is not necessarily a life-threatening condition.
Correct Answer is A
Explanation
It is important for the nurse to understand how the adolescent’s health has affected the family dynamics and roles in order to provide appropriate support and care.
Choice B is not the answer because focusing the discussion on the adolescent’s future career plans may not be relevant or appropriate at this time.
Choice C is not the answer because it is important to include the adolescent in the conversation and not avoid discussing their health.
Choice D is not the answer because it is not appropriate for the nurse to ask another family from the same faith congregation to attend the meeting without first discussing it with the adolescent and their family.
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