A nurse in a community clinic is assessing a client who reports injecting heroin 1 hour ago. Which of the following findings should the nurse expect?
Euphoria
Nystagmus
Tachypnea
Dilated pupils
The Correct Answer is A
Choice A reason: Euphoria is a common effect of heroin use due to its action on the brain's reward system.
Choice B reason: Nystagmus, or rapid involuntary movements of the eyes, is not typically associated with heroin use.
Choice C reason: Tachypnea, or rapid breathing, is not a common finding after heroin use; respiratory depression is more likely.
Choice D reason: Pupillary constriction, not dilation, is typically seen after heroin use due to its action on the parasympathetic nervous system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While mentoring can be supportive, it does not directly address the prevention of workplace violence.
Choice B reason: A zero-tolerance policy sets a clear standard and expectation that violence will not be tolerated, which is essential for prevention.
Choice C reason: Social activities may improve morale but do not directly prevent workplace violence.
Choice D reason: Assertive communication training can help in managing conflict but may not be sufficient to prevent violence.
Correct Answer is C
Explanation
Choice A reason: Modifications for activities of daily living are important for rehabilitation but are not specifically related to secondary prevention.
Choice B reason: Home health visits are part of overall care management but do not directly relate to secondary prevention strategies.
Choice C reason: Ongoing screening for high-risk conditions is a key component of secondary prevention, aiming to identify and manage conditions before they lead to further health issues.
Choice D reason: Support groups provide emotional and social support but are not a direct method of secondary prevention.
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