A nurse is teaching an adolescent drug prevention class in the ...

[urbanoutfitters]

A nurse is teaching an adolescent drug prevention class in the community.
 
  A parent asks what physical signs can be used to help determine whether an adolescent is using marijuana. In this discussion, the nurse might state that high doses of marijuana would produce which of the following clinical signs?
  a. Bradycardia
  b. Pale conjunctiva
  c. Reddened eyes
  d. Edema

Question 2

A patient is brought to the emergency department by friends, who say that he was using cocaine.
 
  The patient has a temperature of 106.2 F, an irregular heat rate of 122/minute, and ventricular dysrhythmias on the telemetry monitor. The nurse knows that with this degree of overdose, the next most likely clinical finding will be which of the following conditions?
  a. Convulsions
  b. Death
  c. Hallucinations and tremors
  d. Myocardial infarction

[Joc]

Answer to Question 1

ANS: C
Marijuana causes pronounced reddening of the conjunctiva.
Marijuana use typically increases the heart rate 20 to 50 beats per minute, therefore tachycardia, not bradycardia, would be present.
The conjunctiva becomes reddened, not pale, with marijuana use.
Marijuana use, even in high doses, does not cause edema.

Answer to Question 2

ANS: A
Severe overdose can produce hyperpyrexia, convulsions, ventricular dysrhythmias, and hemorrhagic stroke.
Death is not imminent based on the patient's clinical presentation.
Hallucinations and tremors are typically seen with mild overdose.
Angina and myocardial infarction may occur. Myocardial infarction typically precedes death. The patient's clinical presentation would make convulsions most likely at this time.