Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5024

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5024

QUESTION: When monitoring a client recently admitted for treatment of cocaine addiction, the nurse notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:

✘O a.) norepinephrine (Levophed) and lidocaine (Xylocaine).
✘O b.) nifedipine (Procardia) and lidocaine.
✘O c.) nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc).
✓O d.) nifedipine and nitroglycerin.

RATIONALE

RATIONALE: This client requires a vasodilator such as nifedipine to treat hypertension, and a beta-adrenergic blocker such as esmolol to reduce the heart rate. Lidocaine, an antiarrhythmic, isn't indicated because the client doesn't have an arrhythmia. Although nitroglycerin may be used to treat coronary vasospasm, it isn't the drug of choice in hypertension.
NURSING PROCESS STEP: Planning
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
COGNITIVE LEVEL: Knowledge