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A nurse is reinforcing teaching about acute cocaine toxicity with a newly licensed nurse. Which of the following manifestations should the nurse include in the teaching?

Hypotension

Vomiting

Bradycardia

Tremors

Answer and Explanation

The Correct Answer is D

A. Hypotension
Cocaine typically causes hypertension, not low blood pressure.

B. Vomiting
Not a hallmark feature of cocaine toxicity.

C. Bradycardia
Cocaine causes tachycardia, not bradycardia.

D. Tremors
Cocaine is a CNS stimulant; toxicity commonly causes tremors, agitation, seizures, tachycardia, and hypertension.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Wear clean gloves when cleansing the tracheostomy site.
Sterile gloves are required in the immediate post-op period to prevent infection.

B. Cleanse the tracheostomy site with 0.9% sodium chloride.
Isotonic saline is used for routine tracheostomy site cleansing to reduce infection risk.

C. Change the client's tracheostomy ties every 72 hr.
Ties should be changed as needed or per protocol, often more frequently in early post-op period.

D. Suction the client's tracheostomy every 6 hr.
Suction as needed, not on a fixed schedule, to avoid mucosal trauma.

A. Hepatitis B screening B. Group B streptococcus B-hemolytic C. 3-hr oral glucose tolerance D. Rubella titer

Correct Answer is B

Explanation

A. Hepatitis B screening
Typically performed in early pregnancy, not at 35 weeks.

B. Group B streptococcus B-hemolytic
Group B strep screening is done between 35–37 weeks to assess risk for neonatal infection.

C. 3-hr oral glucose tolerance
Done at 24–28 weeks to diagnose gestational diabetes.

D. Rubella titer
Checked early in pregnancy to determine immunity, not in late pregnancy.

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A nurse is reinforcing teaching about acute cocaine toxicity with a newly licensed nurse. Which of the following manifestations should the nurse include in the teaching?

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