The nurse is caring for a client who has has been inhaling solvents to receive a "high." After the nurse provides education on the effects of inhaling solvents, which statement from the client indicates understanding of the teaching?
"Inhalants are central nervous system (CNS) depressants similar to alcohol."
"The 'high' that I am getting is from hallucinogenic properties in the inhalant"
"Inhalants are easy to come by and highly addictive."
"When inhaling solvents, I get an instant CNS stimulation that is euphoric.”
The Correct Answer is C
A. "Inhalants are central nervous system (CNS) depressants similar to alcohol." Inhalants are CNS depressants, but this response might not indicate full understanding of the risks and addictive nature of inhalants.
B. "The 'high' that I am getting is from hallucinogenic properties in the inhalant." This is incorrect because inhalants are not primarily hallucinogens; they depress the CNS, leading to effects similar to alcohol intoxication.
C. "Inhalants are easy to come by and highly addictive." This statement indicates the client understands the accessibility and addictive potential of inhalants, which is a critical aspect of the education provided by the nurse.
D. "When inhaling solvents, I get an instant CNS stimulation that is euphoric." While inhalants may provide a euphoric sensation, they are primarily CNS depressants, not stimulants. This response indicates a misunderstanding of their effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I am not on vacation. I am here with you." This response calmly reassures the client by affirming the mother’s presence, which helps address the son’s confusion without directly challenging his perception.
B. "How can I go on vacation? I do not have any money." This response could increase confusion and does not address the son's needs effectively. It could also lead to unnecessary discussions that might not be helpful.
C. "Stop saying that. You know better. No one told you that." This response is dismissive and confrontational, which may exacerbate the son’s distress and could damage the therapeutic relationship.
D. "Just forget about that and let's talk about something else." This response avoids addressing the son’s concerns, which can make him feel dismissed and not listened to, potentially worsening his symptoms.
Correct Answer is D
Explanation
A. Administer a saline enema for constipation. Administering a saline enema may be necessary for constipation, but it is not directly related to managing bone marrow suppression.
B. Initiate contact precautions. Contact precautions are typically used for infectious diseases. In clients with bone marrow suppression, neutropenic precautions are more appropriate to prevent infections.
C. Encourage independence in the completion of ADLs. While promoting independence is important, clients with bone marrow suppression may be fatigued or immunocompromised, requiring assistance to reduce infection risk and conserve energy.
D. Monitor oral mucosa daily. Monitoring oral mucosa daily is crucial because clients with bone marrow suppression are at risk for mucositis, which can lead to infection and impact nutrition and hydration.
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