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An 82-Year-Old Man Is Found to Be Agitated and Confused

question 17

Multiple Choice

An 82-year-old man is found to be agitated and confused on day 2 following surgery for a right hip fracture. The surgery was uncomplicated and was not accompanied by hemodynamic instability. The patient has a history of mild cognitive impairment and lives at home with his daughter. He also has hypertension, gout, and benign prostatic hyperplasia. Temperature is 37.2 C (99 F) , blood pressure is 134/90 mm Hg, and pulse is 100/min. The patient has 2 peripheral intravenous lines that appear clean. He does not have a Foley catheter. Lungs are clear on auscultation. Heart rhythm is regular with a faint mid-systolic murmur heard over the left sternal border. The lower abdomen is tender and palpation exacerbates the agitation. The surgical site appears clean with minimal discharge. Laboratory results are as follows: $An 82-year-old man is found to be agitated and confused on day 2 following surgery for a right hip fracture. The surgery was uncomplicated and was not accompanied by hemodynamic instability. The patient has a history of mild cognitive impairment and lives at home with his daughter. He also has hypertension, gout, and benign prostatic hyperplasia. Temperature is 37.2 C (99 F) , blood pressure is 134/90 mm Hg, and pulse is 100/min. The patient has 2 peripheral intravenous lines that appear clean. He does not have a Foley catheter. Lungs are clear on auscultation. Heart rhythm is regular with a faint mid-systolic murmur heard over the left sternal border. The lower abdomen is tender and palpation exacerbates the agitation. The surgical site appears clean with minimal discharge. Laboratory results are as follows: Which of the following is the best next step in management of this patient? A) Abdominal CT scan without contrast B) Abdominal x-rays C) Bladder ultrasound D) Blood cultures followed by intravenous vancomycin E) Quiet environment and intramuscular haloperidol$ Which of the following is the best next step in management of this patient?

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Total Capital

The sum of a company's debt and equity, representing the total funds available for the business to use.

Partners' Equity

The owners' claim or interest in the assets of a partnership, after all liabilities have been subtracted.

Capital Account

An account used in economics and finance to track the net changes in a nation's assets and liabilities or a company's equity provided by shareholders and retained earnings.

Loss On Realization

The financial loss recognized when assets are sold for less than their carrying amount during the liquidation of a company.