*NURSING > TEST BANKS > PREP U CHAPTER 25-31. with accurate answers. (All)

PREP U CHAPTER 25-31. with accurate answers.

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A nurse is preparing to assess a patient for postural BP changes. Which of the following indicates the need for further education? You Selected:  Letting 30 seconds elapse after each position ch... ange before measuring BP and heart rate (HR) Correct response:  Letting 30 seconds elapse after each position change before measuring BP and heart rate (HR) Explanation: The following steps are recommended when assessing patients for postural hypotension: Position the patient supine for 10 minutes before taking the initial BP and HR measurements; reposition the patient to a sitting position with legs in the dependent position, wait 2 minutes then reassess both BP and HR measurements; if the patient is symptom free or has no significant decreases in systolic or diastolic BP, assist the patient into a standing position, obtain measurements immediately and recheck in 2 minutes; continue measurements every 2 minutes for a total of 10 minutes to rule out postural hypotension. Return the patient to supine position if postural hypotension is detected or if the patient becomes symptomatic. Document HR and BP measured in each position (e.g., supine, sitting, and standing) and any signs or symptoms that accompany the postural changes. Question 5 See full question You are working on a telemetry unit. Your client was admitted with a cardiac event and is now on a cardiac monitor. You know a cardiac monitor reveals the heart's electrical but not its mechanical activity. How would you assess the mechanical activity of the client's heart? You Selected:  Palpate a peripheral pulse. Correct response:  Palpate a peripheral pulse. [Show More]

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