A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

Report of tinnitus

Tremor

Agitation

Bradycardia

Fever

Answer and Explanation

Correct Answer : B,C,E

A. Tinnitus is not commonly associated with acute cocaine toxicity.
B. Tremor is a common finding in acute cocaine toxicity due to increased sympathetic nervous system activity.
C. Agitation is common in acute cocaine toxicity as a result of CNS stimulation.
D. Bradycardia is not typically seen; tachycardia is more common.
E. Fever can occur as a symptom of acute cocaine toxicity.

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Correct Answer is B

Explanation

A. Monitoring urine output is not specifically related to the side effects of ethambutol.
B. Ethambutol can cause optic neuritis, so monitoring visual acuity is essential.
C. Skin color changes are not commonly associated with ethambutol therapy.
D. Cardiac rhythm monitoring is not necessary for clients on ethambutol.

A. A client who had a blood glucose reading at 0650 of 70 mg/dL after receiving 50% dextrose for a hypoglycemic episode B. A client who has pulled out the peripheral IV catheter and is scheduled to receive a dose of famotidine at 0800 C. A client who was admitted for chest pain and is reporting a new onset of indigestion D. A client who has pneumonia and was treated for a temperature of 38.9° C (102° F) at 0400

Correct Answer is C

Explanation

A. A blood glucose reading of 70 mg/dL is low but stable, and the client has already received treatment.
B. Pulling out a peripheral IV catheter is concerning but not immediately life-threatening.
C. New onset of indigestion in a client admitted for chest pain could indicate a cardiac event and requires immediate assessment.
D. A temperature of 38.9°C (102°F) in a client with pneumonia needs monitoring but is not as urgent as potential cardiac issues.

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A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

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