A client consistently reports feeling dizzy and lightheaded when moving from a supine position to a sitting position. What nursing assessment takes priority at this time?
a. Pulse oximetry
b. Blood pressure
c. Respiratory rate
d. Neurologic evaluation
B
Dizziness and lightheadedness on moving from a supine to a sitting or standing position may be symptoms of postural hypotension. Orthostatic blood pressure measurements (decrease of more than 20 mm Hg systolic, decrease of more than 10 mm Hg diastolic, and 10% to 20% increase in heart rate) are used to determine the presence of postural hypotension.
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The nurse has learned from the patient's daughter that the patient is not following the instructions she received upon discharge last month. Which of the following would be a factor in a patient not adhering to her therapeutic regimen?
A) Ethnic background of health care provider B) Costs of prescribed regimen C) Wellness state D) Personality of the physician
In a patient who has anisocoria, the nurse would expect to observe:
a. Dilated pupils. b. Excessive tearing. c. Pupils of unequal size. d. Uneven curvature of the lens.
Which first-line medication would the nurse anticipate being in the plan of care for a patient with systolic heart failure to reduce vasoconstriction and afterload?
A) Diuretics B) Nitrates C) Beta blocker D) ACE inhibitor
A leading cause of separation in families is:
a. military assignment c. temporary separation b. divorce d. jail or prison time