The nurse is caring for a patient with (AD). The nurse should assess the patient for which conditions or situations? (Select all that apply.)
a. Distended bladder
b. Constipation
c. Increased fluid intake
d. Wrinkles in bed linens
e. Abrupt environmental temperature changes
A, B, D, E
Bladder distention, constipation, wrinkled bed linens, and temperature changes are potential triggers for AD that the nurse should assess for. This condition causes a rapid increase in blood pressure. Increased fluid intake is not relevant to AD.
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