A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?
Polyphagia.
Fever.
Bradycardia.
Oliguria.
The Correct Answer is B
A reason: Polyphagia. Polyphagia, or excessive eating, is not typically associated with cocaine use. Cocaine often suppresses appetite rather than increasing it.
B reason: Fever. Cocaine use can lead to hyperthermia or elevated body temperature due to increased metabolic activity and stimulation of the central nervous system.
C reason: Bradycardia. Bradycardia, or a slow heart rate, is not a typical response to cocaine use. Cocaine is a stimulant that usually causes tachycardia, or a rapid heart rate.
D reason: Oliguria. Oliguria, or reduced urine output, is not a typical finding associated with acute cocaine use. The drug's immediate effects are more related to cardiovascular and neurological systems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A reason: A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. This scenario describes negligence, an unintentional tort, where the nurse failed to act with the standard of care expected, leading to a medication error.
B reason: A nurse posted private information on social media about a client who has a substance use disorder. Posting private information without consent is an intentional tort, specifically a breach of confidentiality and invasion of privacy.
C reason: A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. This scenario describes an intentional tort, as the nurse intentionally restrained the client without proper authorization, leading to harm.
D reason: A nurse threatened a client with physical harm after the client became verbally abusive to staff members. Threatening a client with harm is an intentional tort, specifically assault, which involves an intentional act of creating apprehension of harmful contact.
Correct Answer is C
Explanation
A reason: SSRIs are more effective in relieving manifestations. Both SSRIs and TCAs are effective in treating depression, but SSRIs are generally preferred due to their more favorable side effect profile. Effectiveness can vary among individuals, so this statement is not a significant differentiator.
B reason: SSRIs produce a more sedative effect. SSRIs are generally less sedating than TCAs. TCAs are known for their sedative properties and are often prescribed for clients who need help with insomnia related to depression.
C reason: TCAs are lethal in overdose. One major difference between TCAs and SSRIs is the toxicity level in overdose. TCAs can be lethal in overdose due to their cardiotoxic effects, making them more dangerous compared to SSRIs, which have a lower risk of toxicity.
D reason: TCAs have fewer cardiovascular effects. TCAs have more cardiovascular side effects, such as arrhythmias and orthostatic hypotension, compared to SSRIs. This statement is incorrect as TCAs are associated with higher cardiovascular risks.
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