Author Question: An adult in the emergency department states, I feel restless. Everything I look at wavers. Sometimes ... (Read 19 times)

SAVANNAHHOOPER23 · **on:** Jul 19, 2018

An adult in the emergency department states, I feel restless. Everything I look at wavers. Sometimes I'm outside my body looking at myself. I hear colors. I think I'm losing my mind. Vital signs are slightly elevated. The nurse should suspect a(n):

a. schizophrenic episode
b. cocaine overdose
c. phencyclidine (PCP) intoxication
d. D-lysergic acid diethylamide (LSD) ingestion

Question 2

When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:

a. acrophobia
b. hypothermia
c. hallucinations
d. anterograde amnesia

Natalie4ever · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The patient who has ingested LSD often experiences synesthesia (visions in sound), depersonalization, and concerns about going crazy. Synesthesia is not common in schizophrenia. CNS stimulant overdose more commonly involves elevated vital signs and assaultive, grandiose behaviors. PCP use commonly causes bizarre or violent behavior, nystagmus, elevated vital signs, and repetitive jerking movements.

Answer to Question 2

ANS: D
Flunitrazepam is also known as the date rape drug; it produces disinhibition and a relaxation of voluntary muscles, as well as anterograde amnesia for events that occur. The other options do not reflect symptoms commonly observed after use of this drug.