The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse document?

Choice A reason: Lethargy and depression are more typical of cocaine withdrawal or post-use crash, not active use. Recent cocaine use causes stimulation, euphoria, and dilated pupils due to sympathetic activation. These symptoms are less prominent during intoxication, making this incorrect for documenting acute cocaine effects.Choice B reason: Cocaine, a stimulant, causes sympathetic activation, leading to stimulation (e.g., agitation, euphoria) and dilated pupils. These are hallmark signs of recent use, observable in the client’s presentation. This aligns with toxicology evidence for cocaine intoxication, making it the correct choice for nursing documentation.Choice C reason: Bradycardia and bradypnea are not associated with cocaine use, which causes tachycardia and increased respiratory rate due to stimulation. These findings suggest opioid effects or other conditions, not cocaine intoxication, making this incorrect for documenting the client’s recent cocaine use observations.Choice D reason: Hallucinations and delusions may occur with chronic or high-dose cocaine use but are less common than stimulation and dilated pupils in recent use. These psychiatric symptoms are not primary indicators of acute intoxication, making this less accurate for routine documentation of cocaine effects.