A 70-year-old woman with diabetes and hypertension presents with new-onset confusion and inattention over 24 hours in the context of a urinary tract i...

Question

A 70-year-old woman with diabetes and hypertension presents with new-onset confusion and inattention over 24 hours in the context of a urinary tract infection. According to delirium management principles, what is the most appropriate first step?

Accepted Answer

Identify and treat underlying causes, optimise hydration and sensory input, and use non-pharmacologic strategies

Answer

Start high-dose antipsychotics immediately

Answer

Restrain the patient physically to prevent wandering

Answer

Discharge with sedative-hypnotics

Answer

Ignore the confusion as normal ageing

ca-mccqe1 MCQ (SBA): Delirium in older adult

A 70-year-old woman with diabetes and hypertension presents with new-onset confusion and inattention over 24 hours in the context of a urinary tract infection. According to delirium management principles, what is the most appropriate first step?