A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

Polyphagia.

Fever.

Bradycardia.

Oliguria.

Answer and Explanation

The Correct Answer is B

A reason: Polyphagia. Polyphagia, or excessive eating, is not typically associated with cocaine use. Cocaine often suppresses appetite rather than increasing it.

B reason: Fever. Cocaine use can lead to hyperthermia or elevated body temperature due to increased metabolic activity and stimulation of the central nervous system.

C reason: Bradycardia. Bradycardia, or a slow heart rate, is not a typical response to cocaine use. Cocaine is a stimulant that usually causes tachycardia, or a rapid heart rate.

D reason: Oliguria. Oliguria, or reduced urine output, is not a typical finding associated with acute cocaine use. The drug's immediate effects are more related to cardiovascular and neurological systems.

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Correct Answer is D

Explanation

A reason: Delusion. A delusion is a false belief held despite clear evidence to the contrary. While the client's statement might reflect a distorted perception of reality, the expression of wanting to use a pen to "cut the pain out" indicates a more immediate risk of self-harm.

B reason: Hallucination. Hallucinations involve perceiving something that is not present, such as hearing voices or seeing things that are not there. The client's statement does not indicate a hallucination, but rather a desire to engage in self-harm.

C reason: Attention-seeking behavior. While attention-seeking behavior might be a consideration, the specific request to use a pen to harm themselves suggests a more severe risk of self-mutilation rather than merely seeking attention.

D reason: Self-mutilation. The client's statement clearly indicates a risk for self-mutilation. Expressing the intention to use a pen to harm themselves requires immediate intervention to ensure their safety.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

A reason: Use detailed explanations when providing education to the client. While providing clear and concise explanations is important, overly detailed explanations may overwhelm a client with OCD. Simplifying communication can be more effective in reducing anxiety.

B reason: Maintain a stimulating environment for the client. A stimulating environment can increase anxiety and trigger obsessive-compulsive behaviors in clients with OCD. A calm and structured environment is more beneficial.

C reason: Provide the client with a structured schedule of daily activities. A structured schedule helps clients with OCD manage their time and reduces the likelihood of engaging in compulsive behaviors. It provides a sense of predictability and control, which can reduce anxiety.

D reason: Limit time for rituals to 30 minutes each day. While limiting the time for rituals is a goal, setting such a specific limit might initially increase anxiety. A more gradual approach to reducing ritual time, integrated within a structured schedule, is often more effective.

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A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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