A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago.
Which of the following findings should the nurse expect?
Tachypnea.
Dilated pupils.
Euphoria.
Nystagmus.
The Correct Answer is C
The nurse should expect the client to exhibit euphoria after injecting heroin 1 hr ago. Euphoria is a common effect of heroin use and is characterized by intense feelings of happiness and well-being.
Choice A is not the best answer because tachypnea, or rapid breathing, is not a common effect of heroin use.
Choice B is not the best answer because heroin use typically causes pupils to constrict, not dilate.
Choice D is not the best answer because nystagmus, or involuntary eye movement, is not a common effect of heroin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: “I should check the flow rate of my oxygen each day.”
Choice A rationale:
Keeping the oxygen delivery system at least 3 feet from a heating vent is a good safety practice, but it is not the best indicator that the client understands the teaching.The recommended distance is usually 5 to 10 feet to ensure safety.
Choice B rationale:
Using wool blankets is not recommended because wool can generate static electricity, which poses a fire hazard when using oxygen.
Choice C rationale:
Applying petroleum jelly to the nasal cannula prongs is not advised because petroleum-based products are flammable and can pose a fire risk when using oxygen.
Choice D rationale:
Checking the flow rate of the oxygen each day is crucial to ensure the client is receiving the correct amount of oxygen as prescribed.This practice demonstrates that the client understands the importance of monitoring their oxygen therapy.
Correct Answer is B
Explanation
When arranging for the delivery of medical equipment to the client’s home, the nurse case manager is functioning in the role of a coordinator by organizing and facilitating the necessary resources for the client’s care.
Choice A is not an answer because advocating for the client’s rights and needs is not the primary focus in this situation.
Choice C is not an answer because allocating resources within a healthcare system is not the primary focus in this situation.
Choice D is not an answer because providing expert advice or consultation is not the primary focus in this situation.
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