A nurse is teaching a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?

Orthostatic hypotension is indicated by a decrease in diastolic blood pressure of 5 mm Hg.

Orthostatic hypotension is indicated by a decrease in systolic blood pressure of 5 mm Hg.

Orthostatic hypotension increases a client's risk of a fall.

Orthostatic hypotension increases a client's risk of a pulmonary emboli.

Answer and Explanation

The Correct Answer is C

A) Orthostatic hypotension is indicated by a decrease in diastolic blood pressure of 5 mm Hg:
Orthostatic hypotension is typically defined by a decrease in systolic blood pressure of 20 mm Hg or more or a decrease in diastolic blood pressure of 10 mm Hg or more within three minutes of standing up. Diastolic blood pressure alone is not the primary indicator of orthostatic hypotension.

B) Orthostatic hypotension is indicated by a decrease in systolic blood pressure of 5 mm Hg:
While a decrease in systolic blood pressure is a component of orthostatic hypotension, the criterion for diagnosing orthostatic hypotension is a decrease in systolic blood pressure of 20 mm Hg or more or a decrease in diastolic blood pressure of 10 mm Hg or more within three minutes of standing up.

C) Orthostatic hypotension increases a client's risk of a fall:
This statement is correct. Orthostatic hypotension, characterized by a sudden drop in blood pressure upon standing, can lead to dizziness and lightheadedness, increasing the risk of falls, particularly in older adults.

D) Orthostatic hypotension increases a client's risk of a pulmonary emboli:
Orthostatic hypotension is not directly associated with an increased risk of pulmonary emboli. Pulmonary embolism is a separate condition involving a blockage in the pulmonary artery or its branches, typically caused by a blood clot."

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Correct Answer is A

Explanation

A) Pulmonary artery:
The pulmonary artery carries deoxygenated blood from the right ventricle of the heart to the lungs for oxygenation. This is the correct starting location for blood flow from the heart to the lungs in the pulmonary circulation.

B) Left atrium:
The left atrium receives oxygenated blood from the pulmonary veins and pumps it into the left ventricle, not from the right ventricle to the lungs.

C) Left ventricle:
The left ventricle pumps oxygenated blood into the systemic circulation, not from the right ventricle to the lungs.

D) Pulmonary veins:
The pulmonary veins carry oxygenated blood from the lungs to the left atrium of the heart, not from the right ventricle to the lungs."

A. The sympathetic nervous system is responsible for "fight or flight." B. The sympathetic nervous system helps us to rest and digest. C. The sympathetic nervous system Includes the cranial nerves. D. The sympathetic nervous system can lower blood pressure.

Correct Answer is A

Explanation

A) The sympathetic nervous system is responsible for "fight or flight":
This is the correct answer. The sympathetic nervous system is responsible for the "fight or flight" response, which prepares the body to react to perceived threats or stressors by increasing heart rate, dilating pupils, redistributing blood flow, and releasing stress hormones such as adrenaline and noradrenaline.

B) The sympathetic nervous system helps us to rest and digest:
This statement is incorrect. The parasympathetic nervous system is responsible for the "rest and digest" response, which promotes relaxation, digestion, and conservation of energy.

C) The sympathetic nervous system includes the cranial nerves:
This statement is incorrect. The sympathetic nervous system is primarily associated with the thoracolumbar region of the spinal cord and does not include the cranial nerves, which are primarily associated with the parasympathetic nervous system.

D) The sympathetic nervous system can lower blood pressure:
This statement is incorrect. The sympathetic nervous system typically increases blood pressure as part of the "fight or flight" response by increasing heart rate and constricting blood vessels to redirect blood flow to vital organs and muscles.

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A nurse is teaching a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?

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