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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Place a pillow under the child's head: Protecting the head prevents injury from impact with the floor during the seizure. Using a pillow or folded blanket cushions the head while allowing the seizure to run its course safely.

B. Restrain the child's upper extremities: Restraining movements during a seizure can cause fractures, dislocations, or soft tissue injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe.

C. Place a padded tongue blade in the child's mouth: Inserting any object into the mouth is unsafe and can cause dental injury, aspiration, or airway obstruction. Current guidelines advise against this practice.

D. Turn the child onto their back: Placing a child supine during a seizure increases the risk of airway obstruction and aspiration. The recommended position is lateral (side-lying) to maintain airway patency and allow secretions to drain.

A. 32 lb B. 8 lb C. 24 lb D. 16lb

Correct Answer is D

Explanation

A. 32 lb: A weight gain of 32 lb exceeds the recommended range for a client with a prepregnancy BMI ≥30 (obese). Excessive weight gain increases the risk of gestational diabetes, hypertension, and complications during delivery. Staying within guideline ranges supports maternal and fetal health.

B. 8 lb: A gain of 8 lb is below the recommended range and may indicate inadequate nutrition, which can compromise fetal growth and development. Clients with obesity are advised to gain more than this to support a healthy pregnancy while avoiding excessive weight.

C. 24 lb: A gain of 24 lb slightly exceeds the recommended range for obese clients. While less risky than very high gains, it may still increase the likelihood of postpartum weight retention and obstetric complications.

D. 16 lb: For a prepregnancy BMI ≥30, the recommended total weight gain is 11–20 lb. A gain of 16 lb falls within this guideline, balancing the needs of fetal growth while minimizing maternal and fetal complications. This makes it the most appropriate target for dietary teaching.

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A nurse is collecting data from a client who reports recently using cocaine. Which of the following manifestations should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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