03-05-2010, 05:13 PM
22. A 24-year-old man is brought to the emergency department by police 1 hour after his ex-wife found him stumbling around in the yard. His blood pressure is 100/70 mm Hg, pulse is 90/min, and respirations are 16/min. The pupils are equal and reactive to light; the sclerae are injected. During the examination, he laughs without obvious reason, makes religious statements, and asks if there is anything to eat or drink. Mental status examination shows a broad range of affect; there is no evidence of thought disorder except for mild paranoia. Which of the following is the most appropriate next step in management?
A
) Observation in the emergency department
B
) Intramuscular administration of naloxone
C
) Intravenous administration of 50% dextrose
D
) Intravenous administration of lorazepam
E
) Oral administration of chlorpromazine
A
) Observation in the emergency department
B
) Intramuscular administration of naloxone
C
) Intravenous administration of 50% dextrose
D
) Intravenous administration of lorazepam
E
) Oral administration of chlorpromazine