The nurse is recording blood pressure and counting pulse rate of a patient who uses cocaine. What is the expected finding in this patient?
  1. Hypertension and decreased heart rate
  2. Hypertension and increased heart rate
  3. Hypotension and increased heart rate
  4. Hypotension and decreased heart rate
Explanation
Answer: B - Most cocaine users typically demonstrate hypertension and an increased heart rate. Chest pain may mimic a myocardial infarction. Vasoconstriction occurs both within the coronary arteries and the peripheral circulation, resulting in hypertension and episodes of cardiac ischemia that may cause infarcts. In some cases, multiple infarcts may occur even with normal coronary artery.
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