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

Polyphagia

Fever

Bradycardia

Oliguria

Answer and Explanation

The Correct Answer is B

A. Polyphagia: Polyphagia refers to excessive hunger or increased appetite. Cocaine use is not typically associated with increased appetite; in fact, it often suppresses appetite. Therefore, polyphagia is not an expected finding.

B. Fever: Cocaine use can lead to an increase in body temperature due to its stimulant effects on the central nervous system. Therefore, fever is a possible finding associated with cocaine use.

C. Bradycardia: Cocaine use is more commonly associated with tachycardia, an elevated heart rate, rather than bradycardia. Stimulants like cocaine typically increase heart rate and can cause palpitations and arrhythmias.

D. Oliguria: Oliguria refers to decreased urine output. While cocaine use can have various effects on the body, it is not typically associated with oliguria. Instead, it can lead to increased urinary frequency due to its stimulant effects.

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Correct Answer is B

Explanation

A. “ECT contraindicated in clients who have psychotic symptoms.”: This statement is incorrect. ECT can be used to treat various mental health conditions, including severe depression with psychotic features. It is not contraindicated solely based on the presence of psychotic symptoms.

B. "ECT is delivered through electrodes attached to the head.”: This statement is accurate. Electroconvulsive therapy (ECT) involves the delivery of electrical currents to the brain through electrodes placed on the scalp. These electrodes are positioned to target specific areas of the brain.

C. “ECT cannot be administered to clients who have suicide ideation”: This statement is incorrect. ECT can be considered as a treatment option for individuals with severe depression, including those with suicidal ideation or behavior. It can be effective in rapidly alleviating symptoms and reducing suicide risk in some cases.

D. “ECT is conducted under regional anesthesia.”: This statement is incorrect. Electroconvulsive therapy (ECT) is typically performed under general anesthesia to ensure the client's comfort and safety during the procedure. Regional anesthesia is not commonly used for ECT.

A. Slow speech B. Rapid mood changes C. Hallucinations D. Unaltered level of consciousness E. Restlessness

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

Explanation

A. Delirium often causes disorganized thinking and communication, but speech can be either slow or rapid and incoherent. Slow speech is not a definitive sign of delirium.

B.Rapid mood changes are commonly seen in delirium. Clients may exhibit sudden shifts in mood, such as becoming agitated, anxious, irritable, or euphoric, often without apparent cause.

C.Hallucinations, both visual and auditory, are common manifestations of delirium. Clients may perceive things that are not present, hear voices, or experience other sensory distortions.

D.Delirium typically involves an altered level of consciousness, which can range from hyperalertness to lethargy. An unaltered level of consciousness is not characteristic of delirium.

E.Restlessness, agitation, and an inability to sit still are frequent manifestations of delirium. Clients may exhibit hyperactivity, fidgeting, pacing, or attempting to remove medical devices or clothing.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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