The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is this client likely to exhibit during cocaine withdrawal?

Elevated energy level.

High self-esteem.

Euphoria.

Powerful craving for more.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice d. Powerful craving for more.

Rationale:

Cocaine withdrawal symptoms are primarily psychological and emotional, rather than physical. While some physical symptoms may occur, such as fatigue and muscle aches, the most prominent and concerning aspects of withdrawal are intense cravings for the drug.

Here's a breakdown of the other choices and why they are not as likely:

Choice a. Elevated energy level: Cocaine is a stimulant, so during withdrawal, a person is more likely to experience decreased energy and fatigue.
Choice b. High self-esteem: Cocaine use can initially boost self-esteem, but withdrawal often leads to feelings of depression, anxiety, and worthlessness.
Choice c. Euphoria: Euphoria is one of the main effects of cocaine use, but during withdrawal, the opposite occurs, with individuals experiencing dysphoria, a state of intense negative emotions.

Therefore, the intense craving for more cocaine is the most characteristic behavioral symptom exhibited during cocaine withdrawal. This craving is driven by the brain's adaptation to the drug's presence and the disruption of dopamine and other neurotransmitter systems caused by withdrawal.

Additional Notes:

The intensity of cocaine withdrawal symptoms can vary depending on several factors, including the severity and duration of cocaine use, individual differences in brain chemistry and genetics, and the presence of co-occurring mental health conditions.
Seeking professional help for cocaine withdrawal is crucial to manage cravings and other symptoms effectively and increase the chances of successful recovery.

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Correct Answer is B

Explanation

The correct answer is choice B. Attach the drainage bag to the bed frame.

Choice A rationale:

Measuring the urinary output in the bag is a routine task but does not address the improper placement of the drainage bag. The immediate concern is to ensure the drainage bag is correctly positioned to prevent complications.

Choice B rationale:

Attaching the drainage bag to the bed frame is the correct action. The drainage bag should be kept below the level of the bladder and attached to a non-movable part of the bed to prevent backflow and reduce the risk of infection.

Choice C rationale:

Applying gloves and emptying the drainage bag is not the immediate priority. The drainage bag should not be allowed to overfill, but in this scenario, it is only half-full, so this action is not urgent.

Choice D rationale:

Removing the looped tubing from the bed is important to ensure proper drainage and prevent backflow, but it does not address the incorrect placement of the drainage bag, which is the primary concern in this situation.

A. Ask the client to describe the intensity of the eye pain using the numerical pain scale. B. Remind the client that the action of the eye drops is to decrease internal eye pressure. C. Document in the chart that the client understands the action and use of the eye drops. D. Clarify with the client that eye pain in glaucoma is uncommon, so drops are rarely needed.

Correct Answer is B

Explanation

Choice A rationale:

Asking the client to describe the intensity of the eye pain using the numerical pain scale is not the most relevant action in this situation. The client's statement indicates a misconception about the purpose of pilocarpine eye drops, so addressing this misunderstanding should be the focus.

Choice B rationale:

Reminding the client that the action of the eye drops is to decrease internal eye pressure is the appropriate action. Pilocarpine eye drops are used to treat glaucoma by reducing intraocular pressure, not to anesthetize the eye.

Choice C rationale:

Documenting in the chart that the client understands the action and use of the eye drops might be necessary but should not be the first action taken. The priority is to correct the client's misunderstanding about the eye drops.

Choice D rationale:

Clarifying with the client that eye pain in glaucoma is uncommon, so drops are rarely needed, is not accurate. While eye pain might not be a common symptom of glaucoma, pilocarpine eye drops are specifically used to manage intraocular pressure and are not intended to address eye pain.

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The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is this client likely to exhibit during cocaine withdrawal?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The practical nurse (PN) is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client states, "I should use these drops to anesthetize my eye if I experience eye pain.”. Which action should the PN implement?

Correct Answer is B

Explanation

The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition?

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