A client is admitted to the hospital with a history of oxycodone (Percodan) abuse. For which clinical manifestations does the nurse observe the client?
a. Anorexia and weight loss
b. Decreased heart rate and respirations
c. Muscle twitching and profuse perspiration
d. Sedation and constipation
C
Physiologic dependence on opioids allows tissues to adapt to their presence. When opioids are suddenly removed, the dependent tissues stimulate an autonomic nervous system response that includes nausea and vomiting, abdominal cramping, muscle twitching, profuse perspiration, deli-rium, and convulsions.
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The nurse is caring for an asymptomatic preschool-aged child who has cystic fibrosis and has been exposed to influenza A before receiving the appropriate immunization. What antiviral medication might the nurse administer to this child?
A) Rimantadine (Flumadine) B) Zanamivir (Relenza) C) Oseltamivir (Tamiflu) D) Amantadine (Symmetrel)
A 17-year-old female has announced to her family physician a desire to wholly eliminate fats from her diet. Which of the following aspects of the role of fats would underlie the physician's response to the client?
A) Apart from providing energy, fats are necessary as carriers of certain vitamins and are precursors to prostaglandins. B) An extreme low-fat diet is associated with an increase in undesirable HDL cholesterol. C) Fats are a key source of dietary nitrogen, and their elimination from the diet is associated with a negative nitrogen balance. D) The total elimination of fat from the diet is associated with the development of ketosis.
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, an appropriate statement by the nurse is:
A) "I won't share anything that you don't want me to with your parents." B) "Adolescents often feel a distrust of authority figures. Is that true with you?" C) "Your parents care a great deal about you. That's why you are here." D) "If something is uncomfortable for you, you don't have to talk about it"
A prison nurse is assessing a new inmate who demonstrates a history of SPMI. The nurse anticipates that this client is most likely to have what?
A) A history of childhood abuse B) A drug or alcohol disorder C) A diagnosis of major depression D) Delirium or dementia