Which of the following assessment findings is observed in a client with opiate use?
Diarrhea
Pinpoint-sized pupils
Weight gain
Bulimia
The Correct Answer is B
A. Diarrhea: Opiates typically cause constipation, not diarrhea. Diarrhea is not a common finding with opiate use.
B. Pinpoint-sized pupils: Opiates commonly cause miosis, or pinpoint pupils. This is a classic sign of opiate use and is important for assessment.
C. Weight gain: Opiate use is not typically associated with weight gain; in fact, it can sometimes lead to decreased appetite and weight loss.
D. Bulimia: Bulimia is an eating disorder characterized by binge eating and purging. It is not a typical effect of opiate use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I wouldn't tell if I were you." This response is inappropriate because it imposes the nurse's personal opinion rather than supporting the family in making an informed decision.
B. "In my experience, clients who know are more likely to be involved with their plan of care." This is the best response because it encourages transparency and patient autonomy, allowing the client to participate in their care decisions.
C. "The shock of learning the diagnosis may be too much stress for an elderly person.” This response is not based on evidence and may discourage the family from being honest with the client, which could prevent the client from making informed decisions.
D. "This is a private concern that should include the physician, not me." While the physician should be involved in the discussion, the nurse also plays a crucial role in providing support and guidance to the family. This response dismisses the nurse's role in the situation.
Correct Answer is C
Explanation
A. "Try to buy and consume as many organic and natural foods as you can." While organic and natural foods are generally healthy, this advice does not directly align with the DASH diet, which focuses more on nutrient balance and reduction of sodium, fats, and sugars.
B. "Try to replace the complex carbohydrates in your diet with protein-rich foods." The DASH diet emphasizes balanced intake of whole grains (complex carbohydrates), fruits, vegetables, and lean proteins, rather than replacing complex carbohydrates.
C. "Try to reduce the overall amount of fat that is in your diet." This recommendation is consistent with the DASH diet, which advises reducing saturated fats and total fat to help manage blood pressure.
D. "If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake." Eating smaller, more frequent meals may help with calorie control, but this advice is more related to weight management than directly aligning with the DASH diet's focus on nutrient-rich, heart-healthy foods.
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