A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has influenza, but she became concerned
when his temperature went up to 39.4 ° C. She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?
a.
Alcohol
b.
Heroin
c.
Crack cocaine
d.
Sedatives
ANS: B
Withdrawal symptoms of opiates, such as heroin, are similar to the clinical picture of influenza and include symptoms such as dilated pupils, lacrimation, runny nose, tachycardia, fever, restlessness, muscle and joint pains, and other symptoms.
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The nurse is caring for a critically ill patient with serious pain and wishes to consult national guidelines. What is the most comprehensive source for pain management guidelines?
A) Web-based National Guideline Clearinghouse B) American Association of Critical-Care Nurses C) Society of Critical Care Medicine D) Agency for Healthcare Research and Quality
A primigravida at 40 weeks of gestation is having uterine contractions every 1½ to 2 mi-nutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural
What is the likely status of this woman's labor? a. She is exhibiting hypotonic uterine dysfunction. b. She is experiencing a normal latent stage. c. She is exhibiting hypertonic uterine dysfunction. d. She is experiencing pelvic dystocia.
When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers
A gerontological nurse presents at a local conference regarding recent findings in age-related hearing loss. Which age-related changes indicated in hearing loss and speech perception should the nurse include?
A) Changes to the external auditory canal and pinna B) Degenerative changes to the auditory brainstem C) Growth of longer and thicker hair in the ear canal D) Thickening of the tympanic membrane