By which symptom is it possible to identify a long-term cocaine user?

clear, constricted pupils

red, irritated nostrils

conjunctival redness

muscle aches

Answer and Explanation

The Correct Answer is B

A. clear, constricted pupils
Cocaine is a stimulant and causes dilated (not constricted) pupils during intoxication. Constricted pupils are more characteristic of opioid use.

B. red, irritated nostrils
Snorting cocaine repeatedly causes irritation to nasal passages, leading to redness, inflammation, and even nosebleeds or septal perforation.

C. conjunctival redness
This is more commonly seen with marijuana use, not cocaine.

D. muscle aches
Not a hallmark symptom of long-term cocaine use.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. safety of patient, staff and others:
Detoxification can involve seizures, hallucinations, or aggressive behavior. Ensuring safety is the highest priority.

B. avoiding excessive use of withdrawal drugs:
While important for preventing dependency on treatment meds, this is secondary to maintaining safety.

C. patient accommodation:
Comfort matters, but safety and medical stability take precedence in detox settings.

D. patient’s denial and projection:
These are psychological defense mechanisms that may impact treatment engagement but are not the most immediate concern during detox.

A. Multi-disciplinary biological, psychological and social treatment plans B. Self-directed treatment including complete abstinence C. Punitive (punishment) to stop use of the addictive substance D. Treatment with medications and family support

Correct Answer is A

Explanation

A. Multi-disciplinary biological, psychological and social treatment plans
Effective treatment for late-stage addiction requires a comprehensive, integrated approach including detox, therapy, medical support, and social rehabilitation.

B. Self-directed treatment including complete abstinence
This may work for mild cases, but late-stage dependence typically requires professional intervention. Self-treatment is usually insufficient.

C. Punitive (punishment) to stop use of the addictive substance
Punishment alone does not address the underlying causes of addiction and often worsens stigma and resistance to care.

D. Treatment with medications and family support
These are important components but not enough on their own. A full plan must include psychological and social rehabilitation.

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By which symptom is it possible to identify a long-term cocaine user?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The primary issue in the principles of detoxification is:

Correct Answer is A

Explanation

In the late stage of dependence disease, the user will be severely impaired in all areas of function. Which of the following is the BEST treatment plan for a person in the late stage of this disease?

Correct Answer is A

Explanation

As there is no cure for addiction, abstinence is considered to be the control of the disease. The goal of treatment is to assist the patient to abstain from substance use for the remainder of his/her life. This phase of the program is called:

One of the most potent of the hallucinogens, with an effect of over 12 hours and flashbacks which can occur within a few days or more than a year later is called:

Personality traits, including low stress tolerance, dependency, negative self-image, and depression have been identified in persons who exhibit a pattern of compulsive and habitual substance abuse termed:

When the alcoholic attempts to stop drinking symptoms develop such as mild tremors, flu-like symptoms, severe agitation, and hallucinations. These combine to form a syndrome called:

A person just beginning to use the substance on an infrequent basis, is in what stage of addictive/dependent behavior?

An involuntary admission is:

The disease of dependence has three stages. In which stage does the user demonstrate signs of withdrawal when the drug is stopped, and experience severe physical problems and disabling psychological difficulties?

A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for alcohol intoxication. The nurse enters the room and finds the client shouting "Get those bugs off of me." Which of the following responses should the nurse make?