Which assessment findings will the nurse expect in an individual who has just injected heroin?
a. Anxiety, restlessness, paranoid delusions
b. Heightened sexuality, insomnia, euphoria
c. Muscle aching, dilated pupils, tachycardia
d. Drowsiness, constricted pupils, slurred speech
ANS: D
Heroin, an opiate, is a CNS depressant. Blood pressure, pulse, and respirations are decreased, and attention is impaired. The incorrect options describe behaviors consistent with amphetamine use, symptoms of narcotic withdrawal, and cocaine use.
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Of all the clients who have been scheduled to have a biophysical profile, the nurse should check with the physician and clarify the order for which client?
1. A gravida with intrauterine growth restriction 2. A gravida with mild hypertension of pregnancy 3. A gravida who is post-term 4. A gravida who complains of decreased fetal movement for two days
A teenage female client, when being assessed by the nurse for a minor injury, is curious to know what can be identified as the greatest challenges she will face in early adulthood. What should the nurse's response include?
A) Enhancing relationship with people B) Dealing with family issues C) Living alone and managing life independently D) Completing education and choosing an occupation
A 50-year-old male is visiting the nursing center for a general health assessment. He shares with the nurse that he had several surgeries before he was 15 years old for a congenital spinal condition. With each surgery, he had several blood transfusions
This alerts you to screen for A) HIV. B) hepatitis A. C) leukemia. D) anemia.
A patient is prescribed oral ofloxacin for a skin infection. The nurse should instruct the patient to take the medication:
1. every 12 hours. 2. only on an empty stomach. 3. only with food. 4. with antacids.