#may2020usmle2ck
An 82 year-old woman who underwent right knee replacement yesterday develops new symptoms. Right after surgery, she was agitated, awake all night and refused to eat or take postoperative medications. Today she is still agitated and not oriented to time and place. What is the most appropriate management at this point?
A- Restrain in bed and lorazepam administration
B- Restrain in bed and haloperidol administration
C- Sleep enhancement protocol and family support as well as haloperidol administration
D- Diphenhydramine to enhance sleeping
E- Refer to psychiatry department
An 82 year-old woman who underwent right knee replacement yesterday develops new symptoms. Right after surgery, she was agitated, awake all night and refused to eat or take postoperative medications. Today she is still agitated and not oriented to time and place. What is the most appropriate management at this point?
A- Restrain in bed and lorazepam administration
B- Restrain in bed and haloperidol administration
C- Sleep enhancement protocol and family support as well as haloperidol administration
D- Diphenhydramine to enhance sleeping
E- Refer to psychiatry department
