A client consistently reports feeling dizzy and lightheaded on moving from a supine position to a sitting position. What assessment takes priority at this time?
A. Pulse oximetry measurement
B. Orthostatic blood pressure measurement
C. Peripheral pulse assessment
D. Pulse pressure assessment
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 >20 mm Hg systolic, decrease of >10 mm Hg diastolic, as well as 10% to 20% increase in heart rate) are used to determine the presence of postural hypotension.
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The purpose of initiating contractions in a contraction stress test is to:
a. Determine the degree of fetal activity. b. Apply a stressful stimulus to the fetus. c. Identify fetal acceleration patterns. d. Increase placental blood flow.
For a client being prepared to receive an automatic implantable cardioverter-defibrillator (AICD) after surviving two episodes of ventricular fibrillation, the nurse would address the client's
a. acute pain. b. anxiety. c. fatigue. d. decreased cardiac output.
Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)?
a. Liver function b. Vision c. Growth parameters d. Renal function
After a seizure, a 2-year-old boy would exhibit what type of reaction with the Babinski's reflex?
1. Positive 2. Negative 3. Will be positive one time and negative the next 4. Not a reliable test at this age