A nurse is planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?
Instruct the client to perform the Valsalva manoeuvre.
Elevate the head of the client’s bed.
Encourage the client to use guided imagery to relax.
Increase the client’s fluid intake.
The Correct Answer is D
Dehydration can cause hypotension, so increasing fluid intake can help to restore fluid levels and improve blood pressure1. Mild dehydration can be treated with fluids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous fluids and electrolytes2.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A sentinel event is an unexpected event in a healthcare setting that causes or has the potential to cause death, serious physical or psychological injury, or loss of limb or function to a patient1. A client falling out of
bed and fracturing their hip would be considered a sentinel event because it is an unexpected event that resulted in serious physical injury.
Correct Answer is D
Explanation
When taking an electronic blood pressure measurement, it is important to properly position the cuff on the client’s arm. The artery indicator on the blood pressure cuff should be aligned with the client’s brachial artery1. It is also important to select a cuff that fits properly and to have the client sit comfortably with their back supported and feet flat on the ground2.
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