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 B
Explanation
The correct answer is Choice B because, "Determine the health concerns of the employees." Before planning a health fair, it is important to determine the health concerns of the employees in order to tailor the fair to meet their specific needs. Obtaining necessary supplies and equipment (Choice A is wrong because) and making a list of expected outcomes for the health fair (Choice D is wrong because) are important, but not the first priority. Marketing the health fair to the employees (Choice C is wrong because) can be done once the specific health concerns have been identified.
Choice A is wrong because: Obtaining necessary supplies and equipment is important, but not the first priority.
Choice C is wrong because Marketing the health fair to the employees can be done once the specific health concerns have been identified.
Choice D is wrong because: Making a list of expected outcomes for the health fair is important, but not the first priority.
Correct Answer is A
Explanation
The correct answer is Choice A because, "Organize an influenza immunization clinic with the American Red Cross." The parish nurse group should plan to provide influenza immunization clinics to help prevent the spread of influenza in the congregation. Influenza is a contagious respiratory illness that can be spread by coughing, sneezing, and touching contaminated surfaces. This answer is correct because immunization clinics will help prevent influenza, which is a primary and secondary health care need for the congregation.
Choice B is wrong because is incorrect because providing end-of-life care is not a primary or secondary health care need for the congregation, and the parish nurse group is not qualified to provide this level of care.
Choice C is wrong because is incorrect because performing wound care in the home of members is not a primary or secondary health care need for the congregation.
Choice D is wrong because is incorrect because facilitating discharge from the facility to the home is not a primary or secondary health care need for the congregation.
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