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 C
Explanation
Immunizing the clients against influenza is the priority for the nurse to include in health promotion strategies for older adult clients at an assisted living facility. Influenza can be particularly dangerous for older adults, who are at higher risk for complications such as pneumonia. Immunization is an effective way to prevent influenza and its complications.
Choice A is not the correct answer because while providing a low-fat diet can be beneficial for overall health, it is not the priority in this situation.
Choice B is not the correct answer because while scheduling annual dental examinations is important for maintaining oral health, it is not the priority in this situation.
Choice D is not the correct answer because while encouraging regular exercise can improve overall health and well-being, it is not the priority in this situation.
Correct Answer is ["A","E"]
Explanation
The findings that require action by the nurse are A and E.
The water heater being set at 140°F is a safety concern because it can cause scalding.
It is recommended to set the water heater temperature to 120°F to prevent scalding1.
An extension cord extending across the floor of a long room is also a safety concern because it can pose a tripping hazard and can be damaged if walked on, potentially causing a fire or electrical shock2.
Choices B, C, and D do not require action by the nurse.
A nightlight in the bedroom at night can provide visibility and prevent falls. Carpeted floors can provide cushioning in case of falls.
A rubber-backed bath mat outside the shower can prevent slipping.
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