During the focused interview, the client admits to regularly abusing cocaine. Which clinical manifestations support the regular use of cocaine? Select all that apply
1. The nurse notes that the nasal septum has perforated.
2. Temporomandibular joint pain when the client opens and closes the mouth.
3. The septum is noted to be very pale in color.
4. Yeast infection of nasal mucosa and in mouth.
5. Difficulty swallowing water.
Correct Answer: 1, 3
When a client is abusing cocaine, the nurse may note that the nasal septum has broken down and has even perforated. When a client is abusing cocaine, the nasal mucosa might appear vasoconstricted and very pale in color. Temporomandibular joint pain could be the result of otitis externa or might indicate temporomandibular joint dysfunction. It is unrelated to cocaine use. Steroid inhalers can cause growth of Candida in the nose, mouth, or throat. It is unrelated to cocaine use. If the client experiences difficulty in swallowing, this may be due to a neurological or gastrointestinal problem, or it may be related to ill-fitting dentures or malocclusion.
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