The AGACNP is rounding on a 79

The AGACNP is rounding on a 79 year old patient in the emergency department who is being evaluated for an acute onset of mental status change. Her 51 year old son stopped by to check on her this morning because she was not answering her phone. When he arrived at her house he said she was “acting goofy” and so he brought her to the ED. Upon physical examination she appears a bit disheveled she is alert but confused and disoriented. Vital signs include a temperature of 98.6, pulse of 92 beats per minute, respiratory rate of 20 per minute, and a blood pressure of 148/72 mm Hg. The next most important diagnostic test is a A. Urinalysis B. CT of the head C. Toxicology screen D. Blood cultures

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