A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

Report of tinnitus

Tremor

Agitation

Bradycardia

Fever

Answer and Explanation

Correct Answer : B,C,E

A. Tinnitus is not commonly associated with acute cocaine toxicity.
B. Tremor is a common finding in acute cocaine toxicity due to increased sympathetic nervous system activity.
C. Agitation is common in acute cocaine toxicity as a result of CNS stimulation.
D. Bradycardia is not typically seen; tachycardia is more common.
E. Fever can occur as a symptom of acute cocaine toxicity.

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Correct Answer is A

Explanation

A. Discussing initiating hospice care is appropriate to address the client's desire to go home for end-of-life care and to provide support and resources for the family.
B. Extending the hospital stay may not align with the client's wishes for end-of-life care at home.
C. Placing the client in a nursing home may not be in line with the client's preference to go home.
D. While the family may provide palliative care, the nurse should also explore hospice care options for comprehensive support.

A. "My partner should cough while swallowing food." B. "My partner should tilt their head forward when swallowing." C. "My partner should place their food on the weaker side of their mouth when eating." D. "My partner should sit at a 30° angle while eating their meals."

Correct Answer is B

Explanation

A. Coughing while swallowing food can help clear the airway but is not a primary technique for managing dysphagia.
B. Tilting the head forward when swallowing helps to close the airway and reduce the risk of aspiration, indicating effective teaching.
C. Food should be placed on the stronger side of the mouth to aid in effective chewing and swallowing.
D. A 30° angle is insufficient; the client should be in an upright position (90°) to reduce the risk of aspiration.

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A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

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