A nurse is assisting with the care of a client.

Exhibits

Drag 1 condition and 1 finding to fill in each blank in the following sentence.

The client likely suffered from
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as evidenced by
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Rationale:

Opioid intoxication. The client was found unresponsive with a needle in the left antecubital space, suggesting recent intravenous drug use. The administration of naloxone, an opioid antagonist, further supports opioid intoxication as the likely condition. Additionally, the client presents with decreased level of consciousness, respiratory depression (respiratory rate of 10/min), and decreased bowel sounds, all of which are classic signs of opioid intoxication.
Pupil characteristics
The client’s pupils are miotic (constricted), which is a hallmark sign of opioid intoxication due to the drug’s effect on the parasympathetic nervous system. Opioids, particularly heroin and prescription narcotics, cause pinpoint pupils, which can help differentiate opioid intoxication from other conditions that may cause altered mental status.

Rationale for Incorrect Options:

Opioid withdrawal is characterized by symptoms such as agitation, dilated pupils, diarrhea, and tachycardia, none of which are present in this client. Instead, the client exhibits signs of central nervous system depression rather than hyperactivity, making withdrawal unlikely.
Hallucinogen intoxication typically presents with hallucinations, paranoia, agitation, and altered sensory perception. The client’s presentation does not include these findings, making hallucinogen intoxication an unlikely cause.
Alcohol intoxication is associated with slurred speech, ataxia, and confusion, but the client’s history indicates only one beer was consumed, which is not enough to cause such profound central nervous system depression. The presence of a needle and response to naloxone further support opioid intoxication rather than alcohol intoxication.
Alcohol withdrawal presents with symptoms such as tremors, tachycardia, hypertension, and agitation. The client is instead experiencing respiratory depression and sedation, which are inconsistent with alcohol withdrawal.

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Correct Answer is B

Explanation

A. Cottage cheese: Cottage cheese is low in fiber and does not promote bowel regularity. A diet high in fiber is recommended to help soften stool and stimulate peristalsis, which is necessary for relieving constipation.
B. Bran muffin: Bran is an excellent source of dietary fiber, which adds bulk to stool and facilitates easier bowel movements. High-fiber foods, such as whole grains, fruits, and vegetables, are essential in managing constipation effectively.
C. Tomato juice: While tomato juice contains some nutrients, it is not a significant source of fiber. Increasing fiber intake is more beneficial for constipation than consuming low-fiber liquids. However, adequate hydration is still important in preventing hard stools.
D. Puffed rice cereal: Puffed rice cereal is typically refined and low in fiber, making it a poor choice for relieving constipation. Whole grains, such as bran, oatmeal, or whole wheat products, are more effective in promoting bowel regularity.

A. Place area rugs on slick floor surfaces. B. Move the client's bed to the main floor of the house. C. Keep lighting in the home dim. D. Place the bedside table 2 feet away from the bed.

Correct Answer is B

Explanation

A. Place area rugs on slick floor surfaces. Area rugs can increase the risk of falls, especially on slippery floors. They can easily shift or curl at the edges, creating tripping hazards. If rugs are necessary, they should be secured with non-slip backing or removed entirely for safety.
B. Move the client's bed to the main floor of the house. Reducing the need to navigate stairs decreases fall risk, especially for clients with mobility issues. Keeping essential living spaces, such as the bedroom and bathroom, on one level minimizes hazards and promotes safer movement within the home.
C. Keep lighting in the home dim. Adequate lighting is essential for fall prevention, particularly in hallways, staircases, and bathrooms. Dim lighting can make it difficult to see obstacles, increasing the likelihood of tripping. Bright, well-distributed lighting helps ensure visibility and safety.
D. Place the bedside table 2 feet away from the bed. The bedside table should be within easy reach to prevent overextending or getting out of bed unnecessarily. Keeping essential items, such as water, medications, or a phone, close to the bed minimizes the need for unnecessary movement that could lead to falls.

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A nurse is assisting with the care of a client. Exhibits Drag 1 condition and 1 finding to fill in each blank in the following sentence. The client likely suffered from dropdownas evidenced bydropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdownevidenced by the client'sdropdown

A nurse is assisting with the care of a client.

Exhibits

Drag 1 condition and 1 finding to fill in each blank in the following sentence.

The client likely suffered from
dropdown
as evidenced by
dropdown