A patient has been on complete bed rest for 3 days
The health care provider has ordered for the patient to sit at the bedside for meals. The patient complains of feeling dizzy and faint while sitting at the bedside. The nurse anticipates that the patient is experiencing
a. orthostatic hypertension.
b. orthostatic hypotension.
c. hypervolemia.
d. electrolyte imbalance.
B
Orthostatic hypotension produces subjective feelings of weakness, dizziness, or faintness. Orthostatic hypotension occurs with hypovolemia or prolonged bed rest or as a side effect of medications that affect blood volume or blood pressure.
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Central cyanosis is associated with
a. visible cyanosis but normal arterial oxygen saturation. b. desaturation of arterial blood. c. reduced hemoglobin of 15 g/dL. d. permanent cerebral hypoxia.
Which of these statements about Kohlberg's six stages of moral development is TRUE?
a. Each state builds upon the previous stage and forms the foundation for the next one. b. Moral development develops before cognitive development. c. Moral development in the years from age 9 to 13 focuses on avoiding punishment. d. By age 50, most persons have achieved their highest level of moral development.
Which of the following clinical manifestations would the nurse assess in the patient with bipolar disorder who is experiencing mania? Select all that apply
A) Labile mood B) Highly distractible C) Inflated self-esteem D) Despondent when asked questions E) Excessive sleepiness
A nurse assessing a patient is interested in the patient's appraisal of a recent divorce as a stressor. To obtain this information, it is important for the nurse to gather data about which of the patient's responses. (Select all that apply.)
a. Affective b. Behavioral c. Physiological d. Cognitive e. Ethical