A client is demonstrating dizziness and lightheadedness upon standing. The nurse is concerned the client is experiencing postural hypotension when which of the following is assessed?
1. Lying BP 120/70 mmHg, P 70; standing BP 116/78 mmHg, P 78
2. Lying BP 116/64 mmHg, P 62; standing BP 94/58 mmHg, P 78
3. Lying BP 130/80 mmHg, P 84; standing BP 118/72 mmHg, P 90
4. Lying BP 126/74 mmHg, P 74; standing BP 108/62 mmHg, P 84
2
A decrease in systolic blood pressure of more than 20 mmHg when going from lying to standing, along with an increase in heart rate of 10 beats per minute or a decrease in diastolic blood pressure of more than 10 mmHg, along with a 10 beats per minute increase in heart rate, is considered postural hypotension. The other vital sign measurements do not support the criteria for postural hypotension.
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