A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?
Hypersomnia
Depression
Nystagmus
Dilated pupils
The Correct Answer is D
Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.
Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.
Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.
Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement suggests a possible external cause for the hair loss, which might not be related to a psychological issue.
Choice B reason: Observing the child pulling out hair and attempting to conceal it indicates trichotillomania, a disorder characterized by a compulsive urge to pull out one's hair.
Choice C reason: Genetic factors could contribute to hair loss, but the statement does not directly suggest a behavioral or psychological disorder.
Choice D reason: The lack of apparent nervousness or upset in the child does not rule out psychological reasons for hair loss, such as trichotillomania, which can sometimes be a covert behavior.
Correct Answer is A
Explanation
Choice A reason: Wernicke-Korsakoff syndrome is a brain and memory disorder that requires immediate treatment. It occurs due to a severe deficiency of thiamine (vitamin B1), which is essential for the brain to convert food into energy.

Choice B reason: There is no evidence suggesting that Wernicke-Korsakoff syndrome is a psychological condition related to stress.
Choice C reason: Wernicke-Korsakoff syndrome is not a genetic disorder; it is caused by a deficiency of vitamin B1, often associated with alcohol abuse or malnutrition.
Choice D reason: It is not an infectious disease; Wernicke-Korsakoff syndrome results from nutritional deficiencies, specifically a lack of thiamine (vitamin B1).
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