The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is most likely seen in this client?

Elevated energy level

Powerful craving for more

High self-esteem

Euphoria

Answer and Explanation

The Correct Answer is A

Cocaine is a powerfully addictive stimulant drug that increases the levels of dopamine in the brain, which is a chemical messenger related to movement, pleasure, and motivation.
Cocaine's eﬀects appear almost immediately and last for a few minutes to an hour, depending on the method of use. Some of the short-term eﬀects of cocaine include extreme happiness and energy, mental alertness, hypersensitivity to sight, sound, and touch, and irritability.
An elevated energy level is one of the most common and noticeable eﬀects of cocaine use, as cocaine stimulates the central nervous system and makes the user feel more alert, active, and confident¹². This eﬀect may also lead to increased physical activity, talkativeness, or aggression.

Therefore, option A is the correct answer, while options B, C, and D are incorrect.

Option B is incorrect because a powerful craving for more cocaine is not a behavior that can be observed by others, but rather an internal feeling that the user may experience due to the addictive nature of the drug.

Option C is incorrect because high self-esteem is not a typical eﬀect of cocaine use, as cocaine may cause paranoia or anxiety in some users.

Option D is incorrect because euphoria is not a behavior that can be observed by others, but rather an emotional state that the user may feel due to the increased dopamine levels in the brain

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Correct Answer is A

Explanation

A. Droplet: Correct. Pneumonia is transmitted by respiratory droplets that are generated by coughing, sneezing, or talking. The nurse should wear a surgical mask and eye protection when caring for the client and maintain a distance of at least 3 feet from the client.

B. Airborne: Incorrect. Airborne precautions are used for diseases that are transmitted by small particles that remain suspended in the air for long periods of time, such as tuberculosis, measles, or chickenpox. The nurse should wear a respirator and place the client in a negative-pressure room.

C. Contact: Incorrect. Contact precautions are used for diseases that are transmitted by direct or indirect contact with the client or the client's environment, such as Clostridium difficile, scabies, or MRSA. The nurse should wear gloves and a gown and use dedicated equipment for the client.

D. Protective environment: Incorrect. Protective environment precautions are used for clients who are immunocompromised and at risk of infection from others, such as clients who have had a stem cell transplant or are receiving chemotherapy. The nurse should wear a mask, gloves, and a gown and place the client in a positive-pressure room with HEPA filtration.

A. Contact information for a women's shelter. B. Safety plan to keep in a purse at all times. C. Visit summary documenting the report of abuse. D. Paperwork needed to file a restraining order.

Correct Answer is A

Explanation

When a primigravida client confides in the practical nurse (PN) about being in an abusive relationship, the primary concern is the safety and well-being of the client and her unborn child.

Providing contact information for a women's shelter is the most appropriate response in this situation. Women's shelters provide a safe haven for individuals experiencing domestic violence and can oﬀer immediate assistance, including shelter, counseling, legal support, and other resources.

In situations involving domestic violence, it is essential to prioritize the safety and well-being of the individual experiencing abuse. Connecting them with resources like women's shelters can provide the necessary support and assistance they need to escape the abusive relationship and protect themselves and their unborn child.

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The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is most likely seen in this client?

Nursing Test Bank

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