4 street names for benzodiazepines include vs roaches

4. Street names for benzodiazepines include Vs,
roaches, dolls, and dollies.
TEST-TAKING HINT:
The test taker must be able to
recognize common names for street drugs to
answer this question correctly.
18. 1. Cocaine intoxication typically produces an
increase in myocardial demand for oxygen
and an increase in heart rate. Severe vaso-
constriction may occur and can result in
myocardial infarction, ventricular fibrilla-
tion, and sudden death. Because the client
in the question is presenting with chest
pain and has a history of cocaine abuse,
the nurse should prioritize the assessment
of this client.
2. A client would need immediate assessment if
experiencing alcohol withdrawal, not intoxica-
tion. This client would be at risk only if the
intoxication was severe with extreme central
nervous system depression. Because alcohol
withdrawal begins within 4 to 12 hours of ces-
sation or reduction in heavy and prolonged
alcohol use, the nurse has time to assess this
client for alcohol withdrawal. Of the clients
described, this client would not take priority.
3. There is no physical withdrawal from hallu-
cinogens such as lysergic acid diethylamide
(LSD). A client experiencing a “bad trip”
should be monitored closely to prevent self-
injury as a result of extreme hyperactivity,
hallucinations, and psychosis. Overdose
symptoms also can include seizures. Because
the client described is not currently experi-
encing LSD overdose symptoms, this client
would not take priority.
4. Flunitrazepam (Rohypnol) is a date rape
drug. The effects of this drug include
hypotension, confusion, visual disturbances,
urinary retention, and aggressive behavior. It
is important to assess for these symptoms and
any signs of sexual assault. Psychological sup-
port also is necessary. None of the signs and
symptoms in the question is life-threatening,
and so of the clients described, this client
would not take priority.
TEST-TAKING HINT:
It is difficult to choose a pri-
ority assessment when presented with clients in
the emergency department. The test taker
should look for signs and symptoms of condi-
tions that can cause severe harm or death and for
the timeframe of the presenting problem to
determine if it is current and emerging, or if the
nurse has some time to defer assessment.
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HAPTER
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UBSTANCE
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19. 1. A codependent person would have a long his-
tory of focusing thoughts and behaviors on
other people rather than self.
2. A codependent person tends to be a “people
pleaser” and would do almost anything to
gain approval from others.
3. In order for a codependent person to feel
good, the partner must be happy and behave
in appropriate ways. If the partner is not
happy, the codependent person feels responsi-
ble for making him or her happy.
4. A codependent person is confused about his
or her own identity. In a relationship, a
codependent person derives self-worth from
the partner, whose feelings and behaviors
determine how the codependent person
should feel and behave.