A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
a. Thermometer
b. Elastic stockings
c. Blood pressure cuff
d. Sequential compression devices
ANS: C
A blood pressure cuff is needed. Orthostatic hypotension is a drop of blood pressure greater than 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure and symptoms of dizziness, light-headedness, nausea, tachycardia, pallor, or fainting when the patient changes from the supine to standing position. A thermometer is used to assess for fever. Elastic stockings and sequential compression devices are used to prevent thrombus.
You might also like to view...
An ophthalmologist examining the eyes of a patient explains to the nurse that the patient has an irregular curvature or uneven contour of the eye, resulting in impaired light refraction that causes blurred vision at all distances
Which condition does the nurse inform the parents about? A. Astigmatism B. Hyperopia C. Myopia D. Strabismus
The nurse is performing an admission assessment of a female teenage patient who has been experiencing nausea and vomiting. What question would be most important for the nurse to ask this patient?
A) "What is the date of your last period?" B) "What makes your nausea worse?" C) "Have you also had diarrhea?" D) "When did you last urinate?"
A client admitted with acute renal failure progresses from the oliguric to the diuretic phase of the disorder. What primary problems might the nurse expect this client to exhibit?
A. Hypervolemia with dilute urine B. Hypovolemia and electrolyte loss C. Hypervolemia and electrolyte excess D. Hypovolemia with concentrated urine
Prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range. Which step of the nursing process is being used?
a. Assessment b. Nursing diagnosis c. Planning d. Evaluation