Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

allow the patient to sit on the side of the bed for a minute before standing.

instruct the patient to use the wheelchair for all mobility activity.

keep the patient in bed in a high Fowler's position

help the patient to rise quickly and support the patient for a minute.

Answer and Explanation

The Correct Answer is A

A.   Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B.   Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C.   Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D.   Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

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Correct Answer is A

Explanation

A. The patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B. The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C. Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D. The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

A. instruct the patient to remain on strict bed rest B. provide the patient with additional blankets" C. encourage the patent to increase his muscle activity” D. offer fluids to the patient if permitted

Correct Answer is C

Explanation

A. Keeping the patient on bed rest is appropriate as it conserves energy and helps prevent further heat loss.
B. Providing additional blankets is a correct intervention to warm the patient gradually.
C. Increasing muscle activity is contraindicated because it could cause vasoconstriction and worsen hypothermia, as the body focuses on preserving core temperature.
D. Offering fluids (if permitted) is correct as hydration can help restore normal body temperature regulation.

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Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

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Naxlex Comprehensive Predictor Exams

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