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    RN Ati Capstone mental health assessment proctored exam

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

    Explanation & Rationale

    A. Polyphagia: Cocaine suppresses appetite rather than increasing it. Clients often experience anorexia or reduced food intake due to the stimulant effects of the drug on the central nervous system. B. Fever: Cocaine increases metabolic activity and causes intense sympathetic nervous system stimulation, which can lead to hyperthermia or fever. Elevated body temperature is a common acute effect of cocaine use. C. Bradycardia: Cocaine typically causes tachycardia, hypertension, and arrhythmias due to excessive catecholamine release. Bradycardia would be inconsistent with recent cocaine use. D. Oliguria: Cocaine does not typically cause reduced urine output. While dehydration can occur with prolonged use, acute intoxication primarily affects cardiovascular and neurologic systems rather than renal function.

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