A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?
Fatigue
Hand tremors
Rapid speech
Seizures
The Correct Answer is A
A. Fatigue: Fatigue is a common symptom of cocaine withdrawal, as the body adjusts to the absence of the stimulant. Clients often feel extremely tired or lethargic during this phase. Depressive symptoms that accompany withdrawal can also contribute to feelings of exhaustion.
B. Hand tremors: Hand tremors are more often seen with alcohol withdrawal or neurological disorders. While tremors can occur in some cases, they are not a typical manifestation of cocaine withdrawal. The focus is more on mood and energy changes.
C. Rapid speech: Rapid speech is a sign of cocaine intoxication, not withdrawal. During withdrawal, clients tend to experience slowed speech and cognitive dulling, not the heightened energy associated with the drug.
D. Seizures: Seizures are more related to cocaine overdose or intoxication, not withdrawal. Withdrawal typically involves mood changes and fatigue rather than physical manifestations like seizures.
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Related Questions
Correct Answer is C
Explanation
A. Document the client's behavior hourly on a flow sheet: While documentation is important, it is more frequent than hourly. Clients in restraints should be observed and documented on more frequently, usually every 15 minutes to ensure safety and assess the client's condition.
B. Request a PRN client prescription for restraints from the provider: Restraints require a specific order from the provider, not a PRN (as needed) prescription. The order must be obtained initially and renewed per the facility's policy, typically every 24 hours.
C. Observe the client's behavior once every 15 minutes: Clients in restraints must be closely monitored for safety and well-being. The nurse should assess the client’s condition, including physical and emotional status, every 15 minutes.
D. Remove the restraint when the client calmly follows commands: Restraints should only be removed under appropriate conditions as assessed by the nurse, and with a provider’s order when necessary. The client's behavior alone does not determine the removal of restraints.
Correct Answer is A
Explanation
A. Helping a client fulfill a need that they are unable to complete independently: Advocacy in healthcare involves supporting and promoting the rights of clients. It includes helping clients meet their needs, especially when they are unable to do so independently due to illness, circumstances, or limitations.
B. Assuring that the health care provider tells the truth and does not mislead: This refers to veracity, which involves truth-telling and honesty in communication with clients, but it does not fully capture the broader role of advocacy.
C. Avoiding intentionally or unintentionally harming clients: This defines nonmaleficence, an ethical principle focused on preventing harm. While important in healthcare, it is not specific to advocacy.
D. Maintaining the premise that all clients are to be treated equally: This refers to justice, an ethical principle that ensures fairness and equality in treatment. It is related to but distinct from advocacy, which is more focused on supporting the client's individual needs.
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