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?

B. Interviewing shelter residents to determine the effectiveness of coping behaviors:This is a secondary prevention strategy as it focuses on early identification of stress-related conditions or mental health concerns in disaster survivors. By assessing coping behaviors, the nurse can detect maladaptive responses and intervene early to prevent further mental or physical health complications.

Incorrect:

A. Compiling resources available to transition individuals from shelters to a home:This is a tertiary prevention strategy because it focuses on helping individuals recover and rebuild their lives post-disaster.

C. Publishing a listing of shelter locations in local media sources:
This is a primary prevention strategy as it involves preparedness and prevention. Providing information about shelter locations can help individuals seek immediate refuge during a disaster, reducing exposure to harm.

D. Providing age-appropriate activities for shelter residents:This intervention aligns with tertiary prevention, as it aims to promote emotional recovery and well-being for individuals who have already experienced a disaster. Age-appropriate activities help reduce stress and enhance coping for shelter residents.

Explanation: Heroin is a central nervous system depressant that can cause various physiological effects on the body. Dilated pupils are a common sign of heroin use, along with a decrease in blood pressure, respiratory rate, and heart rate. The pupils will appear larger than usual because heroin depresses the parasympathetic nervous system, which controls the size of the pupils.

Tachypnea, or rapid breathing, is not typically associated with heroin use, as it is a central nervous system depressant. Euphoria, or a feeling of intense pleasure or happiness, is a common effect of heroin use, but it is not the most reliable sign of heroin use, as other drugs can also produce this effect. Nystagmus, an involuntary movement of the eyes, is not a common sign of heroin use. Dilated pupils are a reliable sign of heroin use and should be documented in the client's medical record. It is important for the nurse to assess for other signs of drug use and to provide appropriate care and support to the client, which may include referrals for substance abuse treatment. The nurse should also follow agency policies and procedures for reporting drug use and abuse to appropriate authorities.

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