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Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which recreational drug is commonly associated with nasal septum perforation?

A.

heroin

B.

ecstasy

C.

cocaine

D.

marijuana

Answer and Explanation

The Correct Answer is C

A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.  

 

B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.  

 

C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.  

 

D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.  


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View Related questions

Correct Answer is D

Explanation

A. Providing a safe and comfortable environment and applying critical thinking involves both objective and subjective data collection, not just one type.

B. While family members can contribute to patient care, the professional responsibilities of providing a safe environment and critical thinking in assessments fall to trained healthcare providers.

C. This process encompasses both subjective and objective data, as critical thinking requires integrating multiple types of information.

D. The actions described are essential professional responsibilities of trained healthcare providers, who must ensure a safe environment, apply critical thinking, and identify patient cues effectively.

Correct Answer is D

Explanation

A. Bradypnea (slow breathing) may occur in various conditions but is not a defining characteristic of cyanosis.

B. A pale reddish color in the skin is not consistent with cyanosis, which indicates a lack of oxygen in the blood.

C. Somnolence (drowsiness) may be present in some patients, but it is not a specific finding related to cyanosis.

D. Mottled blue color in the skin is a classic sign of cyanosis, indicating inadequate oxygenation of the blood, especially in the extremities or areas with poor circulation.

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