An older adult patient experienced a fall during the previous night shift, and the care team suspects that the patient may be experiencing orthostatic hypotension.
When assessing this patient for postural changes in blood pressure (BP), the nurse should:
A) Record the patient's standing, sitting and lying BPs in prompt succession while assisting the patient in transitions
B) Ask the patient to begin by adopting the position that most often causes him or her to feel dizzy then assess BP in a variety of positions
C) Take BP readings when the patient is lying, sitting, and standing with a minimum period of 30 minutes between each measurement
D) Assess the patient's BP in supine, feet dangling, and then standing positions with 1 to 3 minutes of waiting between each reading.
Question 2
The earliest sign of increased intracranial pressure is
a. headache.
b. dilated pupil.
c. decreasing level of consciousness.
d. diplopia (double vision).
Examples of indirect care
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