A patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. What should the nurse do first?
a. Obtain a 12-lead echocardiogram (ECG).
b. Start oxygen at 4 L/minute.
c. Draw blood for drug screening.
d. Infuse normal saline at 100 mL/hr.
Question 2An older adult patient who has been taking alprazolam (Xanax) calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled. Which response by the nurse is best?
a. The prescription cannot be refilled for another month. What happened to all of your pills?
b. Do you have any muscle cramps and tremors if you don't take the medication frequently?
c. I am concerned that you may be overusing the Xanax. Let's make an appointment for you to see the doctor.
d. I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month.
Question 3During physical assessment of a patient who has frequent nosebleeds, the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of which drug?
a. Heroin
b. Cocaine
c. Tobacco
d. Marijuana
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