A 77-year-old woman is concerned because she has occasionally ...

[V@ndy87]

A 77-year-old woman is concerned because she has occasionally found her husband sleepwalking in the last several weeks. What is her care provider's most appropriate response to her concerns?
 
  A)
  This is not an uncommon event that often accompanies older age.
  B)
  I'll likely prescribe a benzodiazepine for this when I next see your husband.
  C)
  This is understandably upsetting for you, but as long as the environment is safe, it's likely not significant.
  D)
  There may be something else going on with your husband such as delirium or a problem with his medications.

Question 2

While a travel during a vacation via car, the mother notes that her 14-year-old child is getting sick. The mother suspects motion sickness. Which of the following clinical manifestations would confirm this diagnosis? Select all that apply.
 
  A)
  Rapid breathing
  B)
  Feeling faint
  C)
  Red, flushed face
  D)
  Rapid pulse rate
  E)
  Severe balance problems

[chreslie]

Answer to Question 1

Ans:
D

Feedback:

New-onset sleepwalking in the elderly is usually a manifestation of another problem such as delirium, drug toxicity, or a seizure disorder. It is not a normal age-related change, and a benzodiazepine is not a prudent initial treatment.

Answer to Question 2

Ans:
A, B, D

Feedback:

Autonomic signs (of motion sickness) including lowered BP, tachycardia, and excessive sweating may occur. Hyperventilation produces changes in blood volume and pooling of blood in the lower extremities, leading to postural hypotension and sometimes syncope. Red, flushed face is usually associated with elevated temperature. Severe balance problems are usually associated with irritation or damage of the vestibular end organs.

[V@ndy87]

Thank you

[chreslie]

Happy to help you