macintosh
Forum Elite
Topics: 38
Posts: 178
|
An 84-year-old man with dementia, Alzheimer type, is admitted to the hospital for treatment of pneumonia. At night, he becomes confused, yelling, "Where am I? How do I get room service in this place?" He then slaps one of the nurses and tries to kick the doctor. He behaves in a similar manner for the next 2 nights. Which of the following actions is most appropriate to decrease this patient's agitation?
A) Request that the patient's family hire a sitter for him
B) Place familiar objects and a night-light near the patient's bed
C) Leave bright lights on and have the staff check on him hourly
D) Apply restraints to the patient during the night
E) Medicate the patient with a long-acting anxiolytic drug
|
| Ali 200736
Forum Newbie
Topics: 1
Posts: 30
|
EEEE
|
| macintosh
Forum Elite
Topics: 38
Posts: 178
|
Why E. Is an anxiolytic the treatment for dementia.?
|
| hottie99
Forum Elite
Topics: 30
Posts: 427
|
u dont give anxiolytics to elderly, they can die from a suppressed respiratory system, u never give benzos or anything of the such to old people, so i doubt it's e
my study buddy noted to e that the sx only happen at nite, so te answer with the nite lite so he knows were he is, b/c during day he is not violent and asking 'where am i' so this way if he has familiar things around him, then he will be less tense perhaps.. it is a hard question
|
| macintosh
Forum Elite
Topics: 38
Posts: 178
|
I also like C. What do others think.
|
| hottie99
Forum Elite
Topics: 30
Posts: 427
|
how's he going to sleep with bright lights on the whole nite, and who's going to check on him hourly?? i'm not so sure that's a realistic option.. this is hard!
|
| medic21
Forum Newbie
Topics: 7
Posts: 19
|
i would like to say B as in kaplan notes it says management of a alzheimer patient should be supportive, reduce environmental changes and donepezil
|
| macintosh
Forum Elite
Topics: 38
Posts: 178
|
Did i say c? oh i am sorry I meant B (Place familiar objects and a night-light near the patient's bed). Its a pity that i pick up some choice, unintentionally when i really mean some thing else.
|
| hottie99
Forum Elite
Topics: 30
Posts: 427
|
its ok dude, it happens to all of us, better here than on our exam, rite? 
|
|
| |
| | | | | | | | | |
