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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Identifying educational materials is important, but it is not the first step in developing a disaster plan.

Choice B reason: Determining potential environmental health hazards is the first action to take when developing a disaster plan, as it establishes the foundation for all subsequent planning and response strategies.

Choice C reason: Verifying dates for drills is part of ongoing preparedness and training, but it comes after the initial plan development.

Choice D reason: Developing response strategies for specific populations is a later step that builds upon the initial hazard assessment.

A. Neither of the child's parents are financially stable. B. The child's family has an indoor cat that sleeps with the child. C. One of the child's parents appears frightened of the other parent. D. One of the child's parents has a history of alcohol use disorder. E. The child spends the weekends with their grandparents.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Financial instability can be a significant stressor in families and may contribute to an increased risk of child abuse.

Choice B reason: Having a pet, such as an indoor cat, is not a recognized risk factor for child abuse and does not place

the child at an increased risk.

Choice C reason: If one parent appears frightened of the other, it may suggest the presence of domestic violence, which is a known risk factor for child abuse.

Choice D reason: A history of alcohol use disorder in a parent is associated with an increased risk of child abuse, as substance abuse can impair judgment and lead to harmful behaviors.

Choice E reason: Spending time with grandparents, in itself, is not a risk factor for child abuse and does not place the child at an increased risk.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in an assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take?

Correct Answer is B

Explanation

A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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