Author Question: A 19-year-old client has been admitted to the ED after snorting heroin with her boyfriend. She has ... (Read 23 times)

vinney12 · **on:** Jul 19, 2018

A 19-year-old client has been admitted to the ED after snorting heroin with her boyfriend. She has pinpoint pupils and is unconscious. The client's priority nursing diagnosis is:

1. Ineffective breathing pattern
2. Risk for imbalanced fluid volume
3. Impaired physical mobility
4. Disturbed sensory perception

Question 2

When assessing a client for potential alcohol abuse problems, the nurse will seek the results of the most sensitive laboratory test for detecting the effects of chronic alcohol abuse, which is:

1. Elevated erythrocyte mean corpuscular volume (EMCV)
2. Serum glutamic-pyruvic transaminase (SGPT)
3. Lactic dehydrogenase (LDH)
4. Serum gamma-glutamyl transferase (GGT)

amy.lauersdorf90 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 1
Heroin intoxication is indicated by pinpoint pupils and decreased respirations. This is the priority diagnosis (option 1). Option 2, impaired fluid imbalance, and option 3, impaired physical mobili-ty, may be important at some time but not initially. Option 4 is not a priority at this time.

Answer to Question 2

ANS: 4
GGT (option 4) is the most sensitive marker for recent alcohol use. EMCV (option 1) can be an indicator of long-term alcohol use. SGPT (option 2) is an indictor of hepatic problems. LDH (op-tion 3) is an indicator of cardio isoenzymes.