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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The patient's chart may provide historical information but does not reflect the current pain intensity the client is experiencing.

B. Visual observation for nonverbal signs of pain can be useful, especially for nonverbal patients, but self-reporting is the most accurate measure of pain intensity.

C. The client's self-report of pain severity is the gold standard for assessing pain intensity, as it reflects the individual’s personal experience of pain.

D. While the nature and invasiveness of the surgical procedure can provide context for expected pain levels, they do not replace the importance of the client's self-report in managing pain effectively.

Correct Answer is ["0.4"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

First, we need to find the concentration:

Concentration = 3 g/5 mL = 600 mg/mL

Now, we can calculate the volume:

Volume = 250 mg / 600 mg/mL = 0.42

Therefore, the nurse should administer 0.4 mL

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. A nurse is caring for a postoperative client. The nurse should base the client's pain management interventions primarily on which methods of determining the intensity of the client's pain?

Correct Answer is C

Explanation

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.4"]

Explanation

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