A woman has come to the clinic to seek help with a substance abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find when examining this woman?
a. Dilated pupils, pacing, and psychomotor agitation
b. Dilated pupils, unsteady gait, and aggressiveness
c. Pupil constriction, lethargy, apathy, and dysphoria
d. Constricted pupils, euphoria, and decreased temperature
ANS: A
A cocaine user's appearance includes pupillary dilation, tachycardia or bradycardia, elevated or lowered blood pressure, sweating, chills, nausea, vomiting, and weight loss. The person's behavior includes euphoria, talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or occupational functioning, fighting, grandiosity, and visual or tactile hallucinations.
You might also like to view...
Which is a true statement about forming a group?
a. Leaders must be prepared for members to fail to show up as a result of illness, death, or other reasons. b. Groups should include persons with diverse levels of cognitive ability. c. A group leader who is prone to depression will be better able to empathize with the depression and losses suffered by group members. d. The evening is a good time for a group to meet.
The nurse is evaluating the goals and outcomes of patient who is being discharged with a diagnosis of major depressive disorder. Why is the met versus not-met framework of evaluating goals and outcomes not the most effective method,
though it is the most widely used method? 1. It is less effective at defining the specific goal or outcome. 2. It less effective at identifying a specific goal or outcome. 3. It is less effective at documenting the results of the goal or outcome. 4. It is less effective at specifying progress toward meeting the goal or outcome.
A patient has just undergone surgery for malignant melanoma. Which of the following nursing actions should be prioritized?
A) Maintain the patient on bed rest for the first 24 hours postoperative. B) Apply distraction techniques to relieve pain. C) Provide soft or liquid diet that is high in protein to assist with healing. D) Anticipate the need for, and administer, appropriate analgesic medications.
You are admitting a patient to your unit who is scheduled to have an ossiculoplasty. What is this procedure expected to do?
A) Repair the ear drum B) Reconstruct the middle ear bones to restore hearing C) Restore balance D) Stop the patient's vertigo