SOLVED1476

An 88-year-old woman is admitted to the hospital with complaints of palpitations and dizziness. Her medical history is notable for Alzheimer disease, diagnosed three years ago, and hypertension diagnosed 20 years ago. Currently, she is taking donepezil 5 mg twice daily and lisinopril 10 mg once daily. She drinks three glasses of wine a week. Her heart rate is 90/min, blood pressure 135/86 mmHg, and respiratory rate 12/min. Physical examination is unremarkable, ECG reveals normal sinus rhythm with a rate of 88 bpm, and lab work is pending. Five hours after admission, she becomes restless and irritable. She starts arguing with the healthcare staff, and other patients, and is unable to lay still in her bed. The mental status examination shows that she is not oriented to time and place. There are no focal neurological deficits on exam. What is the most likely cause of this patient’s disorientation and irritability? A. Acute stroke B. Brief psychotic episode C. Sensory overload D. Opioid withdrawal
SCIENCE
HEALTH SCIENCE
NURSING

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