The emergency department nurse is most likely to assess which findings in a patient who has used cocaine within the last three hours?
A) Drowsiness and sedation
B) Bradycardia and hypotension
C) Chest pain and palpitations
D) Muscular hypotonia
C) Chest pain and palpitations
Explanation: A) Neurologic symptoms related to cocaine intoxication include combativeness, hallucinations, confusion, violent behavior, and self-inflicted injury.
B) The cardiovascular symptoms of acute cocaine intoxication include increased heart rate, blood pressure, myocardial contractility, and myocardial oxygen demand. As a result, the patient may experience chest pain, tachycardia, palpitations, hypertension, and dysrhythmias.
C) The cardiovascular symptoms of acute cocaine intoxication include increased heart rate, blood pressure, myocardial contractility, and myocardial oxygen demand. As a result, the patient may experience chest pain, tachycardia, palpitations, hypertension, and dysrhythmias.
D) Other neurological symptoms related to cocaine intoxication include tremors, seizures, and myoclonus (this is spasmodic contraction of groups of muscles).
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