The client had been abusing cocaine for several years. Recently, the client snorted cocaine that was much purer than was thought, resulting in an overdose
The client died in the emergency department. What does the nurse recognize as the most likely cause of death?
1. Impurities in the cocaine
2. Bowel ischemia
3. Rhabdomyolysis
4. Respiratory arrest
Correct Answer: 4
Rationale 1: Impurities in the cocaine would not have resulted in the death of the client.
Rationale 2: Bowel ischemia would not occur with a cocaine overdose.
Rationale 3: Rhabdomyolysis would not occur with a cocaine overdose.
Rationale 4: Overdose of cocaine can result in dysrhythmias, convulsions, stroke, or death due to respiratory arrest.
Global Rationale: Overdose of cocaine can result in dysrhythmias, convulsions, stroke, or death due to respiratory arrest. Impurities in the cocaine would not have resulted in the death of the client. Bowel ischemia would not occur with a cocaine overdose. Rhabdomyolysis would not occur with a cocaine overdose.
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