1.          Mrs. Mireya is an 85-year-old female who is admitted for

evaluation of acute mental status change from the long term care facility. She is normally ambulatory and participates in lots of facility activities. Today a nursing assistant found her in her room, appearing confused and disconnected from her environment. When she tried to get up she fell down. Her vital signs are stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that the most likely cause of her symptoms is:

A.

Osteoarthritis

B.

Drug or alcohol toxicity

C.

Hypotension

D.

Urosepsis

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