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, a client who has a rigid abdomen with manifestations of shock. This client is showing signs of internal bleeding and hypovolemic shock, which is a medical emergency that requires immediate treatment to prevent further complications or death. Therefore, the priority should be given to this client.
Choice B is wrong because, a client who has a femur fracture with a 2+ pedal pulse, has a stable condition and can wait for treatment. Choice C is wrong because, a client who is ambulatory and exhibits manic behavior, is not a medical emergency and can wait for treatment. Choice D is wrong because, a client who has superficial partial-thickness burn injuries over 5% of his body, can wait for treatment as these injuries are not life-threatening.
Correct Answer is D
Explanation
The correct answer is Choice D because, "Household contacts will receive prophylactic antibiotics." The nurse should include in the teaching that household contacts of the child with pertussis will receive prophylactic antibiotics to prevent the spread of the disease. This answer is correct because pertussis is a highly contagious respiratory illness that spreads through respiratory droplets, and prophylactic antibiotics can help prevent the spread of the disease.
Choice A is wrong because is incorrect because a dehumidifier will not prevent the spread of pertussis.
Choice B is wrong because is incorrect because pertussis does not cause a rash.
Choice C is wrong because is incorrect because herd immunity occurs when a large percentage of the population is immunized against a disease, and pertussis is preventable with vaccination.
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