A nurse cares for an unconscious rape victim who was given an alcoholic drink spiked with flunitrazepam (Rohypnol) by the assailant. Based on the side effects of this medication, which intervention has priority? Monitoring for

A. Seizures: Flunitrazepam is a benzodiazepine with sedative and amnestic properties, and it is not typically associated with causing seizures. Benzodiazepines are more often used to control seizures rather than provoke them. B. Respiratory depression: This is the most critical risk with flunitrazepam intoxication, especially when combined with alcohol. Both substances are central nervous system depressants, leading to slowed breathing, decreased oxygenation, and potentially fatal outcomes if not closely monitored. C. Hypotonia: Muscle relaxation and decreased tone may occur as a side effect, but hypotonia is not life-threatening compared to the danger of suppressed respiratory function. It is important but not the priority concern. D. Coma: Severe CNS depression can progress to coma, but respiratory depression usually precedes this complication. Monitoring and managing breathing is therefore the priority intervention to prevent further deterioration.