A nurse is collecting data from a client who reports recently using cocaine. Which of the following manifestations should the nurse expect?
Hyperthermia
Increased appetite
Sedation
Hypotension
The Correct Answer is A
A. Hyperthermia: Cocaine is a stimulant that increases sympathetic nervous system activity, leading to elevated body temperature, tachycardia, and hypertension. Hyperthermia is a common acute effect of cocaine use.
B. Increased appetite: Cocaine typically suppresses appetite due to its stimulant effects on the central nervous system. Clients often experience decreased hunger rather than increased appetite.
C. Sedation: Cocaine use generally causes CNS stimulation, resulting in agitation, restlessness, or insomnia rather than sedation. Sedative effects are more characteristic of depressant substances.
D. Hypotension: Cocaine causes vasoconstriction and sympathetic stimulation, which usually leads to elevated blood pressure. Hypotension is not expected and may indicate a complication or co-ingestion of another substance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the family if they want to participate in postmortem care: Allowing the family to choose whether to participate respects their cultural, spiritual, and personal preferences. This promotes dignity for both the client and family and provides an opportunity for closure.
B. Let the head of the client's bed flat: The client’s head should typically be elevated slightly to prevent discoloration of the face and to maintain a natural appearance for viewing. Flat positioning can cause facial edema or pooling of blood, which may be distressing to the family.
C. Place medical equipment to the side of the client's bed: While removing or repositioning equipment can help create a more comfortable viewing environment, it is not the first or most essential step in preparing for postmortem care.
D. Remove the client's dentures to close their mouth: Dentures should usually be left in place to maintain the natural shape of the face unless instructed otherwise. Removing them can cause the mouth to appear sunken, which may be distressing to the family.
Correct Answer is B
Explanation
A. Dorsal recumbent: Lying flat on the back does not optimize airway protection or reduce strain on the surgical site after a thyroidectomy. This position may increase discomfort and risk of edema.
B. Semi Fowler's: Elevating the head of the bed to a semi-Fowler’s position helps reduce neck swelling, promotes airway patency, and decreases tension on the suture line. It also facilitates easier breathing and comfort during the postoperative period.
C. Left lateral: Side-lying positions are not indicated after a thyroidectomy unless the client has specific complications. They do not provide the same benefits for airway management and suture care as semi-Fowler’s.
D. Supine: Lying completely flat can increase neck edema and discomfort post-thyroidectomy. Maintaining a semi-Fowler’s position is preferred to support recovery and airway safety.
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