You are attending to a patient who is experiencing delirium, psychomotor agitation, and ...

Answer to q. 1

a
Rationale: a. Correct. These answers are the classic triad related to excitable delirium.
b. Interpersonal causes are related to an event that is overwhelming and stressful to the patient.
c. Environmental causes result from stimuli outside the patient.
d. Intrapsychic causes result from underlying disease processes.

Answer to q. 2

b
a. Steroids are most helpful in the secondary, inflammatory phase of an allergic reaction.
b. Correct.
c. Intal is a preventative medication and not indicated for the acute management of an allergic reaction.
d. Dopamine is a potent vasopressor reserved for anaphylaxis refractory to epinephrine.

Answer to q. 3

C

Answer to q. 4

c
Rationale: a. Corticosteroids have little benefit in the acute phase of an anaphylactic reaction.
b. While antihistamines may be useful, in severe anaphylaxis, the use of vasopressors is indicated.
c. Correct.
d. While antihistamines may be useful, in severe anaphylaxis, the use of vasopressors is indicated.