A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Hypersomnia

Depression

Nystagmus

Dilated pupils

Answer and Explanation

The Correct Answer is D

Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.

Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.

Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.

Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.

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Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.

Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.

Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.

Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.

Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.

A. The family member said the client started to forget people's names. B. The confusion began suddenly after taking a newly prescribed antidepressant. C. The client states they have been tired and sleeping a lot more than usual. D. The family member states the client does not seem to enjoy previous activities.

Correct Answer is B

Explanation

Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.

Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.

Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.

Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.

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A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

Correct Answer is B

Explanation

The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

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