Author Question: When caring for a client whose last dose of heroin was self-administered just prior to admission, ... (Read 41 times)

tnt_battle · **on:** Jul 24, 2018

When caring for a client whose last dose of heroin was self-administered just prior to admission, the nurse anticipates the client's withdrawal symptoms will peak in:

a. 6-8 hours c. 36-48 hours
b. 12-18 hours d. 5-10 days

Question 2

The nurse is caring for a homeless client admitted three days ago for frostbite. The nurse notes in the client's record that he has a history of alcohol abuse. The nurse's priority is:

a. assess the client's wound dressings for drainage.
b. monitor the client's vital signs every two hours
c. place the client on a cardiorespiratory monitor.
d. prepare to protect the client from harm during delirium tremors.

Awesome · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C

Feedback
A Incorrect: This is not the correct peak time.
B Incorrect: This is not the correct peak time.
C Correct: Generally the abstinence syndrome for heroin peaks in 36-48 hours.
D Incorrect: This is the time frame for the duration of withdrawal symptoms.

Answer to Question 2

ANS: D

Feedback
A Incorrect: Although an important assessment, this is not the nurse's priority.
B Incorrect: This is not an appropriate nursing action for this client.
C Incorrect: This is not a necessary nursing action for this client.
D Correct: At 72 hours following cessation of alcohol in a client with a history of alcohol abuse, the nurse's priority is to anticipate the client will experience DTs and to protect the client from harm.