A male client attends a community support program for mentally impaired and chemical-abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?
Diabetes.
Glaucoma.
Hypertension.
Hepatitis.
The Correct Answer is D
While the use of cocaine and heroin can pose various health risks, including cardiovascular complications, respiratory problems, and infectious diseases, Hepatitis is particularly associated with injection drug use, such as heroin. Hepatitis is an inflammation of the liver that can be caused by viral infections, including Hepatitis B and C. Sharing contaminated needles or other drug paraphernalia increases the risk of contracting Hepatitis. These viral infections can lead to chronic liver disease, liver cirrhosis, and even liver cancer if left untreated. Therefore, among the options provided, Hepatitis is the greatest health risk for this client due to the mode of drug administration and associated risks of viral transmission.
A, B, and C- It's important to note that while diabetes, glaucoma, and hypertension are all significant health conditions, they are not directly associated with the use of cocaine and heroin as drugs of choice. However, individuals who engage in substance abuse may still be at risk for developing or exacerbating other health conditions due to the overall impact on their physical and mental well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Heart rate of 90 beats per minute with premature ventricular contractions (PVCs) noted on telemetry: This finding indicates an abnormality in the heart's electrical conduction system. PVCs are extra, abnormal heartbeats that originate in the ventricles. They can sometimes be benign, but they can also be associated with underlying heart conditions or electrolyte imbalances. Since the client is experiencing dizziness and tingling, which could be related to cardiac function, it is important to report this finding to the healthcare provider for further evaluation and appropriate management.
Incorrect:
A. Regular heart rate of 100 beats per minute on telemetry: This finding describes a heart rate within the normal range (60-100 beats per minute for adults). It does not indicate any immediate concerns or abnormalities that would require reporting to the healthcare provider in this context.
B. Hypoactive bowel sounds on assessment: Following a small bowel resection, it is common for bowel sounds to be temporarily reduced or absent due to the surgical manipulation and the bowel's response to anesthesia. Hypoactive bowel sounds alone do not directly relate to the client's reported symptoms of dizziness and tingling in digits, nor do they suggest an immediate need for reporting to the healthcare provider.
D. Hyperactive bowel sounds on assessment: Hyperactive bowel sounds, characterized by increased loudness and frequency, can occur due to conditions such as gastroenteritis or bowel obstruction. However, in the context of a client who has undergone a small bowel resection and is on NPO status, hyperactive bowel sounds would not be expected and may indicate a potential complication. While it is important to monitor and document this finding, it is not directly related to the client's reported symptoms and does not require immediate reporting to the healthcare provider in this scenario.
Correct Answer is A
Explanation
Inspecting the client's skin near the end of the bathing procedure allows the PN to directly assess the UAP's performance and evaluate the effectiveness of the bed bath. By observing the client's skin, the PN can determine if the UAP has properly cleaned and cared for the client's skin, identified any areas that may have been missed, and ensured that proper hygiene practices have been followed.
B. While verifying with the client that the bath was complete and thorough is important for client satisfaction, it may not provide a comprehensive evaluation of the UAP's performance. Clients may not be aware of all the necessary steps involved in a complete bed bath, so their perception may not accurately reflect the quality of the UAP's work.
C. Requesting the UAP to report and chart when the bath is complete is a useful documentation practice, but it does not provide a direct evaluation of the UAP's performance during the bed bath.
D. Asking another UAP to help the orientee may be helpful for providing guidance and support during the orientation process, but it does not provide a specific evaluation of the UAP's performance in completing the bed bath.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.