A client newly admitted to the medical unit has needle tracks on both arms. A friend has stated that
the client uses heroin. The nurse should assess the client for
a. slurred speech, excessive drowsiness, and bradycardia.
b. runny nose, yawning, insomnia, and chills.
c. anxiety, agitation, and aggression.
d. paranoid delusions, tactile hallucinations, and panic.
B
Early signs and symptoms of narcotic withdrawal resemble symptoms of onset of a flulike illness,
minus the temperature elevation. Option A reflects signs of intoxication or CNS depressant
overdose. Option C might be noted with CNS stimulant or hallucinogen use. Option D is consistent
with CNS stimulant (amphetamine, cocaine) use.
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The nurse is determining the patient care assignments for a nursing unit. Which of the following responsibilities may be delegated to the licensed practical nurse?
a. Initiating the nursing care plans b. Formulating nursing diagnoses c. Assessing a newly admitted patient d. Administering oral medications
The community health nurse, working with a group of women from another country who smoke, encourages them to stop smoking before and during pregnancy. A participant asks the nurse, "why is it important to stop smoking before and during pregnancy?"
Which health problem associated with smoking before and during pregnancy will the nurse include in the response? A) Benzodiazepine withdrawal B) Attention-deficit/hyperactivity disorder (ADHD) C) Unhappy memories D) A personality disorder
A patient presents to the emergency department with brisk hemorrhage from a laceration on the lower leg. How should the nurse address the hemorrhage?
1. Tape ABD pads over the wound and reinforce them when they become saturated. 2. Apply direct manual pressure on the wound. 3. Pack ice directly on the wound to cause vasoconstriction. 4. Apply a tourniquet tight enough to stop all the external bleeding.
A faith community consults with a nurse to spearhead a committee to investigate the feasibility of starting a faith community nursing program in their church
The nurse contacts which organization for information, consultation, and reference packets about faith community nursing? a. Parish Nurse Coordinator Center b. International Parish Nurse Resource Cen-ter c. American Nurses Association d. National Center for Wellness