Question

a client comes to an urgent care clinic and announces with great enthusiasm, \i am an expert at all things medical as they apply to me, and i require zolpidem.\ the clients pupils are dilated, along with an elevated heart rate and blood pressure level. the nurse should suspect intoxication with which of the following substances? options: alcohol, cocaine, barbiturates, heroin

Explanation:

To determine the substance causing intoxication, we analyze the symptoms (dilated pupils, elevated heart rate/blood pressure, and overconfident behavior) and compare with substance effects:

• Alcohol: Typically causes pupil constriction, sedation, and decreased vital signs. Eliminate.
• Cocaine: Stimulant; causes dilated pupils, increased heart rate/blood pressure, and euphoria/overconfidence. Matches symptoms.
• Barbiturates: Depressants; cause pupil constriction, decreased vital signs, and sedation. Eliminate.
• Heroin: Depressant/opioid; causes pupil constriction, decreased vital signs, and sedation. Eliminate.

Answer:

B. Cocaine