The nurse will monitor the client with a history of heroin addiction for which of the following signs of heroin withdrawal?
1. Constipation, insomnia, and hallucinations
2. Staggering gait, slurred speech, and violent outbursts
3. Nausea, vomiting, diarrhea, muscle aches, and diaphoresis
4. Decreased heart rate and blood pressure and dry nose, mouth, and skin
3
Rationale: The client who is experiencing opioid withdrawal (such as from heroin) may experi-ence dysphoric mood, nausea, vomiting, diarrhea, abdominal cramping, muscle aches, diaphoresis and piloerection, runny eyes (lacrimation) and nose (rhinorrhea), yawning, fever, restlessness, insomnia, and increased pulse and blood pressure.
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1. Morphine sulfate (Duramorph) 2. Meperidine (Demerol) 3. Acetaminophen (Tylenol) 4. Ibuprofen (Advil)
A nurse is documenting the plan of care for a client with AIDS. Which of the following is most important when documenting the plan of care?
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When teaching, a nursing instructor stands 15 feet from the class of nursing students. The personal space-distance zone that the nursing instructor is in is
1. Public. 2. Intimate. 3. Casual-personal. 4. Social-consultative.
An IV is infusing at 15 mL/h. What would this rate of flow equal in mcgtt/min.?
1. 1.5 mcgtt/min. 2. 15 mcgtt/min. 3. 18 mcgtt/min. 4. 150 mcgtt/min.