Confusion and Delirium (Management) — 67yo Man | Nephrology | MCCQE1 Q#13307
MCCQE1 Question #13307
Dimension of Care
Acute Care
Activity
Management
Objective
Confusion and Delirium
Section
Medicine / Family Medicine
Subject
Nephrology
Last updated: February 2026
A 67-year-old man from a long-term care facility presents with acute confusion and unsteady gait that began this morning. He recently had 3 days of poor oral intake after viral gastroenteritis. Medications include hydrochlorothiazide, sertraline, and acetaminophen. On exam, he is drowsy but arousable, follows simple commands, has dry mucous membranes, mild orthostatic dizziness, and no focal neurologic deficits. What is the most appropriate initial management to safely correct his serum sodium?
Full answer analysis and choices are available inside the practice session.
Related questions
- #13423 — A 58-year-old man presents to the emergency department with 2 days of progressiv...
- #13402 — A 72-year-old man is brought to the emergency department after being found confu...
- #13324 — A 72-year-old man presents with 24 hours of confusion and unsteady gait. His dau...
- #13301 — A 72-year-old man is admitted with community-acquired pneumonia and is receiving...
- #13298 — A 79-year-old man from a long-term care facility presents with 2 days of worseni...
- #13284 — A 72-year-old man is admitted for community-acquired pneumonia and started on IV...