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.
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."
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["35"]
Explanation
Here's the calculation:
Total volume of enteral nutrition (mL): 840 mL
Infusion time (hours): 24 hours
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Flow rate (mL/hr) = 840 mL / 24 hours = 35 mL/hr (round to nearest whole number as requested)
Therefore, the nurse should program the pump to deliver 35 mL/hr.
Correct Answer is C
Explanation
A) The client should try to take in all of the required dietary fiber with the morning meal:
While it's beneficial for clients to consume dietary fiber with meals to promote regular bowel movements, focusing solely on the morning meal may not provide adequate fiber intake throughout the day. It's essential for clients with chronic constipation to maintain a consistent intake of dietary fiber with each meal and snack.
B) The client should drink two to three 8 oz glasses of water each day:
Hydration is important for overall bowel health, but simply drinking water may not be sufficient to alleviate chronic constipation. While increasing fluid intake can help soften stools and prevent constipation, the amount of water needed varies among individuals. It's important for clients to drink enough fluids throughout the day to maintain hydration and support gastrointestinal function.
C) The client should follow a high-fiber diet to establish bowel regularity:
This is the correct answer. Increasing dietary fiber intake is a cornerstone of managing chronic constipation. A high-fiber diet can help add bulk to stools, improve bowel motility, and establish regularity. The nurse should educate the client about incorporating fiber-rich foods such as fruits, vegetables, whole grains, and legumes into their daily diet to promote optimal bowel function.
D) The client should be taught that the goal of therapy is to have a bowel movement daily:
While having a daily bowel movement may be a reasonable goal for some individuals, it's not universally applicable to all clients with chronic constipation. Bowel habits vary among individuals, and the frequency of bowel movements needed to establish regularity depends on factors such as diet, activity level, and overall health. The focus of therapy should be on achieving comfortable and regular bowel movements rather than a specific frequency.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
