Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which recreational drug is commonly associated with nasal septum perforation?
heroin
ecstasy
cocaine
marijuana
The Correct Answer is C
Rationale:
A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.
B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.
C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.
D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[268.5,308.5],\"yRanges\":[223,263]}"
Explanation
A. This is the R wave
B. The T-wave on an electrocardiogram represents ventricular repolarization. In cases of hyperkalemia, the T-wave can become peaked and more pronounced. Identifying the correct location of the T-wave on the ECG is critical for monitoring changes that may indicate worsening hyperkalemia.
C. This is the S wave
D. This is the p wave
Correct Answer is C
Explanation
A. This is a dark vertical line that can appear on the abdomen during pregnancy, typically extending from the pubic area to the navel, which is not what is depicted in the image of a Mongolian Spot.
B. A chronic skin condition that results in red, itchy, scaly patches; this does not match the appearance of a Mongolian Spot.
C. This is the correct answer as it refers to a blue-gray pigmentation commonly found on the backs and buttocks of infants, particularly in individuals of Asian or African descent.
D. These are small, white cysts that can appear on the skin, typically on the face, and are not consistent with the description of a Mongolian Spot.
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