The nurse works with a recovering heroin addict who is currently receiving opioid substitution treatment. Besides reducing his use of heroin, what additional benefits are offered by this treatment? (Select all that apply.)
A) Reduction in alcohol use
B) Weight loss
C) Decrease in transmission of HIV
D) Improving the client's overall health
E) Decrease in depression
Ans: C, D
Feedback:
Opioid substitution programs are effective in decreasing the transmission of HIV infection, reducing injecting drug use, and improving the health of people addicted to opioids. They are not associated with a reduction in alcohol use, weight loss, or a decrease in depression.
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The student nurse is preparing to insert the otoscope into the adult client's ear. Which statement by the student nurse indicates the need for further education?
1. "I'm going to use the largest speculum that will fit easily into the ear canal." 2. "I'm going to prepare to insert the otoscope by pulling the pinna down and back." 3. "The tympanic membrane should look gray and translucent." 4. "I will ask the client to perform the Valsalva maneuver so that I can see how well the tympanic membrane moves."
An older patient is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this patient's risk of aspiration?
1. Administer formulas that contain fiber. 2. Keep the head of the bed elevated at a 30 to 45 degree angle. 3. The risk of aspiration no longer exists after a permanent feeding tube has been placed. 4. Flush the tube with water before and after each medication administered through the tube.
When developing the plan of care for a client with myasthenia gravis (MG), the nurse would expect to monitor the client for which complication?
A) Urinary tract infection B) Respiratory insufficiency C) Infertility D) Pelvic inflammatory disease
Watson's original 10 carative factors include all of the following EXCEPT
A. Formation of a humanistic–altruistic system of values. B. Cultivation of sensitivity to one's self and to others C. Promotion and acceptance of the expression of positive and negative feelings D. Systematic use of a problem-solving skills to implement the nursing process. E. Provision for a supportive, protective, and/or corrective mental, physical, societal, and spiritual environment.