A nurse prepares for an initial interaction with a patient with a ...

[Sufayan.ah]

A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse. Which is the nurse's best first action?
 
  a. Perform a thorough assessment of the patient.
  b. Verify that security services are immediately available.
  c. Self-assess personal attitude, values, and beliefs about this health problem.
  d. Obtain a face shield because oral hygiene is poor in methamphetamine abusers.

Question 2

Which assessment findings are likely for an individual who recently injected heroin?
 
  a. Anxiety, restlessness, paranoid delusions
  b. Muscle aching, dilated pupils, tachycardia
  c. Heightened sexuality, insomnia, euphoria
  d. Drowsiness, constricted pupils, slurred speech

[akpaschal]

Answer to Question 1

ANS: C
The nurse should show compassion, care, and helpfulness for all patients, including those with addictive diseases. It is important to have a clear understanding of one's own perspective. Negative feelings may occur for the nurse; supervision is an important resource. The activities identified in the distracters occur after self-assessment.

Answer to Question 2

ANS: D
Heroin, an opiate, is a CNS depressant. Blood pressure, pulse, and respirations will be decreased, and attention will be impaired. The distracters describe behaviors consistent with amphetamine use, symptoms of narcotic withdrawal, and cocaine use. (Educators may alter this question to multiple answers if desired.)

[Sufayan.ah]

Gracias!

[shewald78]

Excellent