Author Question: During the focused interview, the client admits to regularly abusing cocaine. Which clinical ... (Read 57 times)

melly21297

  • Hero Member
  • *****
  • Posts: 565
During the focused interview, the client admits to regularly abusing cocaine. Which clinical manifestations support the regular use of cocaine? Select all that apply.
 
  1. The nurse notes that the nasal septum has perforated.
  2. Temporomandibular joint pain when the client opens and closes the mouth.
  3. The septum is noted to be very pale in color.
  4. Yeast infection of nasal mucosa and in mouth.
  5. Difficulty swallowing water.

Question 2

The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation?
 
  1. Pull the pinna up and back, then reinsert the otoscope.
  2. Tell the client to move away from the speculum if they experience any pain as the otoscope is advanced.
  3. Reinsert the otoscope quickly and press against both sides of the inner auditory canal.
  4. Pull the pinna down and back, then reinsert the otoscope.



strudel15

  • Sr. Member
  • ****
  • Posts: 324
Answer to Question 1

Correct Answer: 1, 3

When a client is abusing cocaine, the nurse may note that the nasal septum has broken down and has even perforated. When a client is abusing cocaine, the nasal mucosa might appear vasoconstricted and very pale in color. Temporomandibular joint pain could be the result of otitis externa or might indicate temporomandibular joint dysfunction. It is unrelated to cocaine use. Steroid inhalers can cause growth of Candida in the nose, mouth, or throat. It is unrelated to cocaine use. If the client experiences difficulty in swallowing, this may be due to a neurological or gastrointestinal problem, or it may be related to ill-fitting dentures or malocclusion.

Answer to Question 2

Correct Answer: 1
To avoid trauma to the ear, the otoscope is to be removed and the pinna should be pulled up and back for better visualization. The client should be instructed to state any feelings of discomfort or pain but not to pull away because this may result in injury during this examination. The otoscope should not be inserted quickly and should not be pressed against either side of the inner auditory canal because it would be painful for the client. Pulling down and back is recommended in children because of the shape of their auditory canal.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

For a complete list of videos, visit our video library