A nurse is assessing a client who is experiencing acute amphetamine toxicity. Which of the following findings should the nurse expect?

Tachycardia

Headache

Increased appetite

Pupil constriction

Answer and Explanation

The Correct Answer is A

A. Tachycardia: Amphetamines are central nervous system stimulants that increase sympathetic nervous system activity. Tachycardia is a common manifestation of acute toxicity, along with hypertension, hyperthermia, and agitation. Monitoring cardiovascular status is essential to prevent complications.

B. Headache: While headaches can occur with amphetamine use, they are not a primary or consistent finding in acute toxicity. More prominent signs are cardiovascular and neurological stimulation rather than mild symptoms like headache.

C. Increased appetite: Amphetamines typically suppress appetite rather than increase it. Clients experiencing acute toxicity are more likely to have decreased hunger due to stimulant effects on the hypothalamus.

D. Pupil constriction: Amphetamines usually cause mydriasis (pupil dilation) due to sympathetic stimulation. Pupil constriction is more characteristic of opioid toxicity rather than amphetamine toxicity.

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Correct Answer is C

Explanation

A. Assault: Assault involves the threat or attempt to cause harm that makes the client fear imminent injury. Hiding the client’s car keys does not involve a threat or intimidation, so it does not meet the criteria for assault.

B. Negligence: Negligence involves failing to provide the standard of care, resulting in harm. While hiding the keys is inappropriate, it is an intentional act rather than a failure to act, so it is not classified as negligence.

C. False imprisonment: False imprisonment occurs when a person is intentionally restrained or confined without legal authority or consent. By hiding the client’s car keys to prevent them from leaving, the AP is restricting the client’s freedom of movement, fulfilling the criteria for false imprisonment.

D. Battery: Battery involves intentional physical contact that is harmful or offensive. Hiding car keys does not involve direct physical contact with the client, so it does not constitute battery.

A. The client drank 240 mL of water at 0800. B. The client's gait is steady while using a walker. C. The client cries while answering questions. D. The client points to a 6 on the visual analog pain scale.

Correct Answer is D

Explanation

A. The client drank 240 mL of water at 0800: This is objective data because it is a measurable and observable fact that can be verified by the nurse. Documentation of intake is based on direct observation rather than the client’s perception.

B. The client's gait is steady while using a walker: This is objective data as it is based on the nurse’s direct observation of the client’s physical performance. It can be measured or assessed without relying on the client’s personal experience.

C. The client cries while answering questions: Crying is an observable behavior, making it objective data. While it may indicate distress, the nurse is reporting what was seen rather than the client’s internal experience.

D. The client points to a 6 on the visual analog pain scale: This is subjective data because it reflects the client’s personal perception of pain, which cannot be independently measured or verified. Pain is inherently subjective, relying on the client’s self-report.

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A nurse is assessing a client who is experiencing acute amphetamine toxicity. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who wants to leave the facility against medical advice. In an attempt to prevent the client from leaving, an assistive personnel (AP) has hidden the client's car keys. Which of the following torts is the AP committing by hiding the client's car keys?

Correct Answer is C

Explanation

A nurse is documenting assessment findings for a client. Which of the following is an example of subjective data?

Correct Answer is D

Explanation

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