Which assessment findings are likely for an individual who recently injected heroin?
Drowsiness, constricted pupils, slurred speech
Heightened sexuality, insomnia, euphoria
Muscle aching, dilated pupils, tachycardia
Anxiety, restlessness, paranoid delusions
The Correct Answer is A
A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.
B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.
C. These are withdrawal symptoms of opioids, not effects immediately following injection.
D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Neuroleptic malignant syndrome is a rare, life-threatening reaction associated with antipsychotic medications, not stimulants like methylphenidate.
B. Dystonia, akinesia, and extrapyramidal symptoms are primarily seen with antipsychotic use, not with ADHD stimulant medications.
C. Bradycardia and hypotensive episodes – Stimulants more commonly cause tachycardia and hypertension, not bradycardia or hypotension.
D. Sleep disturbances and weight loss are common side effects of methylphenidate due to its stimulant properties. Monitoring sleep patterns, appetite, and growth is a priority in children taking this medication.
Correct Answer is A
Explanation
A. This occurs when the nurse projects personal feelings about someone from their own life onto the patient (e.g., comparing the patient to a grandparent and feeling sadness).
B. This refers to severe emotional outbursts in cognitively impaired patients, not nurse behavior.
C. This would involve the nurse using defense mechanisms to protect themselves from anxiety, not relating to the patient as a grandparent.
D. Transference is when the patient projects feelings onto the nurse, not the other way around.
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