Author Question: Upon assessment the nurse finds the following: a 46-year-old immigrant patient from the Czech ... (Read 92 times)

clmills979 · **on:** Jul 22, 2018

Upon assessment the nurse finds the following: a 46-year-old immigrant patient from the Czech Republic has diabetes and hypertension and just recently moved in to live with a family member who must travel frequently.

The patient speaks English very well. The community health nurse knows that this patient may be vulnerable because of which assessment finding? a. Age
b. Immigration status
c. Diabetes
d. Language

Question 2

The nurse has assessed the need to check the patient for orthostatic hypotension. Conditions that would cause the nurse to be concerned about this would be which of the following? (Select all that apply.)

a. Dehydration
b. Obesity
c. Recent blood loss
d. Cigarette smoking
e. Prolonged bed rest

ally · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Vulnerable populations include individuals living in poverty, elderly people, homeless individuals, those in abusive relationships, people with substance abuse problems and/or mental illnesses, and new immigrants. For some immigrants access to health care is limited because of legal status, language barriers and lack of benefits, resources, and transportation. Being 46 years old does not place the patient in the elderly category. Diabetes does not make the patient vulnerable. The pa-tient speaks English, so that is not an issue.

Answer to Question 2

A, C, E
Fluid volume deficit from decreased blood volume, dehydration, or recent blood loss, as well as prolonged bed rest, anemia, or antihypertensive medications, place patients at risk for orthostatic hypotension. Obesity, cigarette smoking, excessive alcohol intake, elevated blood cholesterol, and continued exposure to stress are also linked to hypertension.