A health care provider is interviewing a patient with a history of amphetamine abuse. Which one of the following substances would the patient be most likely to use to cope with the effects of amphetamines?
a. Cocaine
b. Barbiturates
c. Heroin
d. Caffeine
ANS: B
The effects of amphetamines on the cardiovascular system are profound. Tachycardia, chest pain, hypertension, and dyspnea contribute to a panic state because these signs and symptoms are also those of myocardial infarction. To cope with these effects, the individual often uses central nervous system (CNS) depressants such as barbiturates.
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An 88-year-old woman has developed syncope (fainting) since an antihypertensive agent was added to her medication regime. The development of syncope may be related to which of the following physiologic processes?
A) Interaction of other medications B) Ingestion of herbal supplements C) Diminished excretion of the medication D) Increased metabolism of the medication
After completing a health assessment of the client, which information would the nurse need to document in the progress notes as opposed to on the assessment form?
1. Any findings that deviate from expected or normal findings 2. Detailed follow-up examination of findings that deviate from expected or normal findings 3. All findings of the health assessment 4. Nothing, because everything would be documented on the assessment form
The following constituent of the urinalysis test indicates possible renal disease, muscle exertion, or dehydration
a. proteinuria b. positive glucose c. positive bilirubin d. bacteriuria
Successful implementation of each step of the nursing process requires high-level skills in critical thinking. Which of the following statements accurately describe a guideline for using this process?
A) Trust clinical judgment and experience over asking for help. B) Respect clinical intuition, but never allow it to determine a diagnosis. C) Recognize personal biases as a strength in formulating diagnoses. D) Keep an open mind and trust your intuition when formulating diagnoses.