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
Nits are the eggs of head lice and their presence indicates an infestation. Head lice can spread quickly among school children through close contact and shared items such as hats and combs. It is important for the school nurse to address this issue promptly to prevent further spread.
Choice A, an adolescent who has psoriasis, is not the highest priority because psoriasis is a chronic skin condition that is not contagious.
Choice B, a child who has a BMI of 18, is also not the highest priority because a BMI of 18 falls within the normal range for children.
Choice C, an adolescent who has scoliosis, is not the highest priority because scoliosis is a curvature of the spine that typically develops slowly over time and requires monitoring rather than immediate intervention.
Correct Answer is ["A","B","D"]
Explanation
The correct answers are A. “I can discontinue hospice care whenever I want.”, B. “I can receive care in the hospital or at home.”, and D. “I will receive care from a variety of interprofessional team members.”
Choice A rationale:
Clients have the right to discontinue hospice care at any time if they choose to pursue curative treatments or if their condition improves.
Choice B rationale:
Hospice care can be provided in various settings, including the client’s home, a hospital, a nursing home, or a hospice facility.
Choice C rationale:
This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.
Choice D rationale:
Hospice care involves a multidisciplinary team approach, including doctors, nurses, social workers, chaplains, and other professionals to address the holistic needs of the patient.
Choice E rationale:
Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.
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