A nurse caring for a patient suspected of frequently abusing MDMA (Ecstasy) suspects that the patient is experiencing toxic symptoms. Which clinical findings would confirm the nurse's suspicions?
a. Temperature of 106.2° F, sodium level of 120 mg/dL, muscle aches
b. Hypertensive crisis, hyperthermia, seizures
c. Anxiety and fear of disintegration of the self, panic
d. Decreased respirations, hallucinations, combativeness, and psychosis
ANS: A
MDMA can cause hyperthermia in association with dehydration, hyponatremia, and rhabdomyolysis.
Hypertensive crisis, hyperthermia, and seizures are consistent with LSD overdose.
Anxiety, fear of disintegration of the self, and panic describe LSD toxicity.
Decreased respirations, hallucinations, combativeness, and psychosis describe PCP toxicity.
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