The nurse is to obtain an orthostatic blood pressure measurement for a patient on dialysis for end-stage renal disease. Which of these would the nurse do to obtain this measurement?
a. Obtain blood pressure while the patient is lying, sitting, and standing.
b. Check blood pressure every minute three times for four readings.
c. Take blood pressure before and after dialysis treatments.
d. Monitor blood pressure before and after an antihypertensive medication is given.
ANS: A
A drop in blood pressure accompanied by a rise in pulse rate as the patient rises to sitting or standing positions is called orthostatic or postural hypotension and may indicate fluid deficit. The nurse will check blood pressure while the patient is lying, sitting, and standing.
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