SOLVED778

A 78-year-old male is evaluated in a subacute rehabilitation center after sustaining a fall. The fall occurred last night as he was getting out of bed. He does not recall the circumstances of the fall. Medical history is significant for Parkinson disease for which he has taken carbidopa-levodopa for four years. He was hospitalized for community-acquired pneumonia two weeks ago and completed his course of levofloxacin four days ago. During his admission, diphenhydramine was started and he continues to take it at bedtime. Today, his temperature is 37.6C (99.7F), pulse is 85 beats/minute, and blood pressure is 145/80 mmHg. His physical exam reveals lungs clear to auscultation, regular heart rate, no appreciable heart murmur, and mild ecchymosis on his right elbow. He scores 27/30 on a mini-mental state examination (MMSE). He is able to stand and ambulate 20 feet without the use of assistance devices. He is cooperative during the exam. Which of the following most likely triggered this fall? A. Arrhythmia due to levofloxacin B. Delirium due to diphenhydramine C. Dementia secondary to Parkinson disease D. Limited mobility due to Parkinson disease
SCIENCE
HEALTH SCIENCE
NURSING

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