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Previous Topic | Next Topic  NBME F5 S3 84yr old with dementia 




 
Kaplan Qbank USMLE



Author3 Posts
  #1

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 the nurse 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 similar objects and a night-light near his 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


  #2

b place similar objects
not sure ,,,but one of the treatment modalities in alzheimers is to educe enviromental changes ...

  #3

looks like infection induced delirium since its worsens at night thats it needs follow up

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