You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip he…

Question

You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip hemiarthroplasty. The nurse says she has not slept, keeps trying to climb out of bed, and asks you to chart temazepam. She is fully attentive and gives a clear account: she cannot get comfortable because of hip pain, which she rates 7 out of 10 on movement. Her only analgesia is regular paracetamol. She has passed urine, and her observations are normal. Which one of the following should be…

Accepted Answer

Give an opioid for breakthrough pain

Answer

Arrange a bladder scan

Answer

Chart regular temazepam at night

Answer

Move her beside the nurses' station

Answer

Perform a bedside assessment for delirium

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