Strategy: Determine how each answer choice relates to cocaine.

(1) correctchronic inhalation creates sores, burns, disruption of mucous

membranes, and holes in
the nasal septum
(2) barbiturate abusers typically suffer from lack of coordination
(3) narcotic abusers demonstrate constricted pupils
(4) clients who abuse marijuana, hashish, and/or THC experience cravings for sweets
and carbohydrates
123. Which of the following statements should the nurse make to a client
who is going to self-administer continuous ambulatory peritoneal dialysis
(CAPD) at home?
1.
2.
3.
4.

Check your weight daily.

Maintain clean technique at all times during the procedure.
Milk the catheter to encourage extra fluid to be removed from the abdomen.
Eat a well-balanced, low-protein diet.

Strategy: Answers are a mix of assessments and implementations. Is

assessment required. Yes. Is the assessment appropriate? Yes.
(1) correctassessment, daily weight necessary with peritoneum empty to assess
fluid volume
status, guidelines for weight gain/loss set by physician
(2) implementation, strict aseptic technique required to prevent contamination,
sterile = aseptic,
clean = antiseptic
(3) implementation, dont milk catheter, drainage by gravity only
(4) implementation, encouraged to eat a high-protein diet due to protein loss with
CAPD
124. Which of the following nursing interventions is MOST important for a
45-year-old woman with rheumatoid arthritis?
1.
2.
3.
4.

Provide support to flexed joints with pillows and pads.

Position her on her abdomen several times a day.
Massage the inflamed joints with creams and oils.
Assist her with heat application and ROM exercises.

Strategy: All answers are implementations. Determine the outcome of each

answer choice. Is it desired?
(1) would result in contractures due to the strength of flexor muscles
(2) should encourage range of motion in all joints, not just hip flexors
(3) massaging inflamed joints will add to inflammation and pain
(4) correctreduces swelling, increases circulation, diminishes stiffness while
preserving joint mobility