Author Question: A patient is thin, tense, jittery, and has dilated pupils. The patient says, I'm burning up. I need ... (Read 44 times)

CORALGRILL2014 · **on:** Jul 19, 2018

A patient is thin, tense, jittery, and has dilated pupils. The patient says, I'm burning up. I need help.. The patient allows a temperature to be taken (it is 104 F), then becomes suspicious and says, You could be trying to kill me..

The patient refuses further examination. Abuse of which substance is most likely? a. PCP
b. Heroin
c. Barbiturates
d. Amphetamines

Question 2

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

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

kswal303 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The physical symptoms are consistent with CNS stimulation. Suspicion and paranoid ideation are also present. Amphetamine use is likely. PCP use would probably result in bizarre, violent behavior. Barbiturates and heroin would result in symptoms of CNS depression.

Answer to Question 2

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