An 84-year-old admitted with pneumonia is acutely confused, … | MyMerci
NCLEX-RN ROR
Question

An 84-year-old admitted with pneumonia is acutely confused, fluctuating attention, with a positive CAM screen. He is calm but inattentive (hypoactive delirium). Which intervention is the priority?

Explanation
Delirium management is FOUNDATIONAL nonpharmacologic with treatment of reversible causes: deprescribe high-risk medications (anticholinergics like diphenhydramine and oxybutynin, sedatives like zolpidem, dopamine antagonists like reglan), treat infection (pneumonia here), remove unnecessary tethers (Foley contributes to delirium), reorient, mobilize, sleep hygiene. Antipsychotics are REJECTED as routine; reserved for severe agitation harming self/staff with non-pharm failure (and only short term, low dose) — and AVOIDED in pure hypoactive delirium. Restraints worsen delirium. MRI is for focal findings, not initial step in delirium with clear medical precipitant.

In-depth explanation

Hypoactive delirium has higher mortality and is missed often. Use validated tools (CAM, CAM-ICU, 4AT) for screening. Ages 65+ at hospital admission warrant routine screening.

Clinical scenario

Reglan, oxybutynin, zolpidem, diphenhydramine on home med list. Sleep poor. Foley in place.

Key concepts

Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free
Read in another language: English한국어日本語繁體中文Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.