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

Hypothermia

Somnolence

Hallucinations

Muscle weakness

Answer and Explanation

The Correct Answer is C

MDMA, commonly known as ecstasy or Molly, is a stimulant drug that affects the central nervous system. It primarily acts on serotonin, dopamine, and norepinephrine neurotransmitters. The use of MDMA can lead to altered perception, increased sensory awareness, and hallucinations. Hallucinations may involve visual, auditory, or tactile sensations that are not based on reality.

The other findings mentioned—hypothermia (abnormally low body temperature), somnolence (excessive sleepiness), and muscle weakness—are not typically associated with MDMA use. Instead, MDMA use may lead to increased body temperature (hyperthermia), increased energy levels, agitation, increased heart rate, and muscle tension.

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Correct Answer is A

Explanation

The nurse should identify that caring for a client who has a new onset of chest pain is outside the scope of practice for an LPN. This is a complex and potentially life-threatening situation that requires the assessment and intervention of a registered nurse (RN) or other advanced practice provider.

b) Caring for a client who has a tracheostomy is within the scope of practice for an LPN.

c) Caring for a client who is receiving enteral feedings is within the scope of practice for an LPN.

d) Caring for a client who has urinary retention is within the scope of practice for an LPN.

A. Vomiting B. Confusion C. Incontinence D. Tinnitus

Correct Answer is B

Explanation

A nurse collecting data for a client following electroconvulsive therapy should expect that the client may experience confusion as an adverse eﬀect. Confusion is a common side eﬀect of electroconvulsive therapy and can last for minutes to hours after treatment.

The other options are not typical adverse eﬀects of electroconvulsive therapy.

a) Vomitingis not a typical adverse eﬀect of electroconvulsive therapy.

c) Incontinenceis not a typical adverse eﬀect of electroconvulsive therapy.

d) Tinnitusis not a typical adverse eﬀect of electroconvulsive therapy.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

Correct Answer is A

Explanation

A nurse is collecting data for a client following electroconvulsive therapy. Which of the following adverse eﬀects should the nurse expect?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about a safety plan for a client who reports partner violence. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops?

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