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?
Dilated pupils
Euphoria
Tachypnea
Nystagmus
The Correct Answer is B
The correct answer is B, euphoria. Heroin is an opioid that produces a feeling of intense pleasure, or euphoria, as it binds to opioid receptors in the brain. Other physical effects of heroin use may include constricted (not dilated) pupils, slowed breathing (not tachypnea), and droopy eyelids (not nystagmus).
Heroin is an opioid drug that affects the central nervous system, leading to a range of physical and psychological effects. One of the most common effects of heroin use is euphoria, which is a feeling of intense happiness, pleasure, and wellbeing. This is caused by the drug binding to opioid receptors in the brain, triggering the release of dopamine, a neurotransmitter associated with pleasure and reward.
Other physical effects of heroin use can include dilated pupils (Choice A is wrong because), as the drug can affect the muscles in the iris, causing them to expand. Tachypnea (Choice C is wrong because), or rapid breathing, can also occur as a result of the drug's effects on the respiratory system. Nystagmus (Choice D is wrong because), or involuntary eye movements, can be a sign of opioid intoxication, but is not as common as euphoria or dilated pupils.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A because, "Describe the place where you are currently living." Asking the client to describe their living situation will provide the case manager with information about the client's home environment and help identify any potential barriers to safe care. This information can then be used to develop a safe and effective discharge plan, which may include arranging for a special bed at home.
Choice B is wrong because, "Apply moisture barrier ointment three times a day," is not the correct answer because it focuses on a specific aspect of the client's care, rather than considering the broader context of their living situation. Choice C is wrong because, "Eat a balanced diet with high-protein snacks," is not the correct answer as it also focuses on the client's care, rather than their living situation. Choice D is wrong because, "A social worker can help you with the cost of supplies," is not the correct answer as it may not be the most pressing concern at the time of discharge planning.
Correct Answer is D
Explanation
The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This statement indicates an understanding of the regulation regarding STI reporting, as state health departments are responsible for reporting selected STIs to the National Institutes of Health.
Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is not correct. While it is important for clients to provide information about their sexual partners to prevent further spread of STIs, it is not a legal requirement.
Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not correct. Congress does not mandate the requirements for STI reporting. It is the responsibility of state health departments to report selected STIs to the National Institutes of Health.
Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not correct. Nurses should not withhold the name of the client who has an STI during partner notification, as this is an important step in preventing the further spread of STIs.
Explanation: State health departments are responsible for reporting selected STIs to the National Institutes of Health. Clients are not legally required to provide a list of sexual partners, and Congress does not mandate the requirements for STI reporting. Nurses should not withhold the name of the client who has an STI during partner notification.
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