SOLVED1090

A 50-year-old hospitalized woman suddenly develops agitation and tremulousness. She underwent an open cholecystectomy successfully 3 days ago. She received hydrocodone for pain relief and was doing well until this morning. She denied significant medical history on admission and took no regular medications. Vital signs are temperature 37.8 C (100 F), blood pressure 165/95 mmHg, heart rate 123 bpm, respiratory rate 25 breaths/min, and oxygen saturation 97% on room air. On physical examination, she is diaphoretic and is talking to her pet dog, who is not in the room. She is restless and uncooperative, pulling out her intravenous lines and shouting at the nurses. Her pupils are 3 mm and reactive. Breath sounds are normal, and no heart murmurs are audible. The abdomen is soft and non-tender. The surgical scar is healing well with no erythema or warmth. The patient moves all extremities without limitations. Which of the following is the most likely cause of this patient’s acute confusion? A. Opioid intoxication B. Delirium tremens C. Opioid withdrawal D. Elevated intracranial pressure
SCIENCE
HEALTH SCIENCE
NURSING

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