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: Preparing one's own meals does not typically indicate a health issue that requires further assessment.
Choice B reason: Having to turn one's head completely to see things could indicate a possible vision or neck problem, which warrants further assessment.
Choice C reason: Changing a hearing aid battery weekly is a normal maintenance activity and does not suggest a health concern.
Choice D reason: Preparing medications for the week is a good practice for medication management and does not indicate a health issue.
Correct Answer is A
Explanation
Choice A reason: This demonstrates cultural competence by acknowledging and incorporating the client's cultural practices into their care plan.
Choice B reason: This statement does not demonstrate cultural competence but rather a lack of understanding and respect for the client's cultural practices.
Choice C reason: While family members can be helpful, using a professional interpreter is recommended to ensure accurate communication and to maintain confidentiality.
Choice D reason: Advising against the use of herbal teas does not reflect cultural competence. A culturally competent approach would involve discussing the client's beliefs and providing evidence-based guidance.
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