In order to decrease fall risk due to orthostatic hypotension, what advice should be given to an older adult who is taking medication for hypertension?
a. Ambulate with a walker.
b. Avoid hot baths.
c. Avoid climbing stairs.
d. Sit on the side of the bed for a moment before ambulation.
ANS: D
Sitting on the side of the bed before ambulation gives the vascular system time to adjust to a positional change.
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The risk of aspiration while on mechanical ventilation can be reduced by
A) leaving the endotracheal tube's cuff deflated. B) administering enteral feedings. C) inserting a nasogastric tube. D) administering prophylactic antacids.
The patient is brought to the emergency department after having fractured his arm 12 hours ago. The arm is very edematous from the fingers to the elbow, and the patient cannot move it. Initially the nurse should:
a. test range of motion. b. take the vital signs. c. place ice packs on the arm. d. check fingers for capillary refill.
A pregnant woman calls her provider's office to report that she thinks she is in labor. The patient reports contractions have been at these times: 12:05, 12:10, 12:15, and 12:20. What does this information indicate to the nurse?
A) Nothing useful about the client's contractions B) The duration of the contractions is every five minutes C) The frequency of the contractions is every five minutes D) The contractions are increasing in duration and frequency
An adult client with a history of migraine headaches tells the nurse that in the past six months, she has needed to use her medication to abort headaches on the average of 5 to 6 times a month, despite avoiding her migraine triggers
The nurse explains that the next step in her therapy might be to take which action? 1. Review her migraine triggers and look for new ones. 2. Try a different drug to abort the headaches. 3. Try a drug to prevent the headaches. 4. Take a drug holiday to clear out her system.