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

A reason: Encourage the client to attend group therapy sessions. While group therapy can be beneficial for some clients, it may not be the best initial approach for those with panic disorder. Group settings can sometimes increase anxiety and trigger panic attacks.

B reason: Allow the client to choose scheduled daily activities. While allowing clients some control over their daily activities can be empowering, it does not directly address the symptoms of panic disorder. Structured interventions and therapeutic techniques are more effective.

C reason: Use simple words to describe procedures to the client. Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. This approach is particularly effective for clients with panic disorder, who may become easily overwhelmed.

D reason: Avoid discussing topics that can trigger a panic attack. While it is important to be mindful of topics that may cause distress, complete avoidance can prevent clients from learning to manage their triggers. Therapeutic approaches often involve gradual exposure to triggers in a controlled and supportive environment.

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.