A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxyphenol-methamphetamine. Which of the following findings should the nurse expect?

Hallucinations

Muscle weakness

Hypothermia

Somnolence

Answer and Explanation

The Correct Answer is A

Explanation:

Methylenedioxyphenol-methamphetamine (MDMA), also known as ecstasy or Molly, is a psychoactive substance that can produce hallucinations as one of its effects. Hallucinations involve perceiving things that are not present in reality, such as seeing, hearing, or feeling things that do not actually exist.

Muscle weakness (choice B) is not a common finding associated with MDMA use. In fact, MDMA typically produces an increase in energy and heightened physical sensations rather than muscle weakness.

Hypothermia (choice C) can occur as a result of MDMA use. MDMA can interfere with the body's ability to regulate temperature, leading to an increase in body temperature. This is commonly known as "drug-induced hyperthermia" rather than hypothermia.

Somnolence (choice D), which refers to excessive sleepiness or drowsiness, is not typically associated with MDMA use. MDMA is a stimulant drug that can produce increased wakefulness and alertness.

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Correct Answer is C

Explanation

When removing the dressing and cleaning the wound, it is important to start from the center of the wound and work towards the outer edges. This technique helps prevent contamination of the wound by minimizing the risk of dragging bacteria or debris from the surrounding skin into the wound.

The other options listed are not recommended for this specific procedure:

When removing the tape, it is generally recommended to pull it parallel to the skin surface rather than pulling from the center of the dressing. This technique reduces the risk of causing trauma or disrupting the wound.

While it is important to maintain aseptic technique during dressing changes, wearing sterile gloves is not necessary for a wet-to-dry dressing change. Clean, non-sterile gloves are typically sufficient for this procedure, as the dressing material itself is not sterile.

In a wet-to-dry dressing change, the dressing is typically applied moist and allowed to dry over time. Therefore, moistening the dressing before removal is not necessary. The primary goal is to remove the dry dressing, which may adhere to the wound bed, and then clean the wound before applying a fresh dressing.

A. You can apply lotion under the straps of the harness. B. The harness can be removed for sleeping each night. C. The harness can promote hip joint development. D. You should place the diaper over the strap of the harness.

Correct Answer is C

Explanation

Explanation:

The Pavlik harness is a device used to treat developmental dysplasia of the hip (DDH) in infants. It helps position the hips in a way that promotes proper hip joint development. By keeping the hips in a flexed and abducted position, the harness helps to align the hip joint properly, allowing for normal development.

A- Applying lotion under the straps of the harness is not recommended as it can interfere with the harness's effectiveness and may cause skin irritation.

B- The harness should not be removed for sleeping unless specifically instructed by the healthcare provider. It is typically worn continuously to ensure consistent hip positioning and optimal treatment outcomes.

D- Placing the diaper over the strap of the harness is not recommended as it can cause discomfort for the infant and may interfere with the proper fit and function of the harness. The diaper should be placed under the harness straps to ensure a secure and comfortable fit.

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A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxyphenol-methamphetamine. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a wet-to-dry dressing change for a client who has an infected abdominal wound. Which of the following techniques should the nurse use when performing this dressing change?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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