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 D
Explanation
A. "You will need an attorney to appoint a health care surrogate": It is not necessary to involve an attorney to designate a health care surrogate. Most states allow clients to complete the form themselves using standardized documents, making it accessible without legal assistance.
B. "You should appoint a family member as your health care surrogate": The surrogate does not have to be a family member; the client may choose any competent adult they trust to make health care decisions on their behalf. Emphasizing family only limits the client’s autonomy in selecting a trusted decision-maker.
C. "Once you have completed a living will it cannot be changed": Advanced directives, including living wills, can be updated or revoked at any time as long as the client has decision-making capacity. This flexibility allows clients to adjust their wishes as circumstances or preferences change.
D. "Your health care surrogate will make decisions on your behalf if you are unable": The primary role of a health care surrogate is to make medical decisions for the client when they lack the capacity to do so. This ensures that the client’s preferences and best interests are respected in situations where they cannot communicate their wishes.
Correct Answer is C
Explanation
A. Monitor urine for protein: Proteinuria is unrelated to epiglottitis and does not provide useful information for assessing airway compromise. This intervention is not indicated for this condition.
B. Obtain a nasopharyngeal swab: Swabbing the throat can trigger gagging or laryngospasm, which may cause complete airway obstruction in a child with epiglottitis. Invasive procedures should be avoided until the airway is secured.
C. Request an x-ray of the neck: A lateral neck x-ray can help confirm the diagnosis of epiglottitis by showing a swollen epiglottis ("thumb sign"). Imaging is useful when performed carefully in a controlled environment.
D. Administer fluconazole: Fluconazole is an antifungal medication and is not indicated for bacterial epiglottitis, which is typically caused by Haemophilus influenzae type b or other bacteria.
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