A patient presents with severe agitation, dilated pupils, chest discomfort, and a very high pulse after using cocaine. Which nursing action is the priority?
Correct answer: A. Place the patient in a low-stimulation area and monitor cardiac status
- A. Place the patient in a low-stimulation area and monitor cardiac status
- B. Encourage vigorous exercise to remove the drug from the body
- C. Give a caffeinated drink to prevent fatigue and sleep
- D. Leave the patient alone until the effects have completely ended
Explanation
Stimulant intoxication can cause dysrhythmias, myocardial ischemia, hyperthermia, seizures, and severe agitation. Reducing stimulation, maintaining safety, and closely monitoring airway, vital signs, and cardiac status address the immediate risks. Exercise and caffeine can increase sympathetic stimulation.
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