17. A nurse assess a client suspected of taking opiates. Which pupil size/shape represents opiate intoxication?
Test-Taking Tip
Opiates cause pupil constriction compared to amphetamines, which cause dilation.
Content Area: Mental Health, Substance Abuse; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
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Answer 1 is correct because pinpoint pupils are indicative of opiate use. Answer 2 is incorrect because the pupil size is within normal range. Answer 3 is incorrect because this pupil is dilated, which is consistent with amphetamine abuse. Answer 4 is incorrect because the abnormal shape of the pupil may indicate optic surgery, not opiate abuse.