Author Question: A client is demonstrating dizziness and lightheadedness upon standing. The nurse is concerned the ... (Read 69 times)

tatyanajohnson · **on:** Jun 25, 2018

A client is demonstrating dizziness and lightheadedness upon standing. The nurse is concerned the client is experiencing postural hypotension when which of the following is assessed?

1. Lying BP 120/70 mmHg, P 70; standing BP 116/78 mmHg, P 78
2. Lying BP 116/64 mmHg, P 62; standing BP 94/58 mmHg, P 78
3. Lying BP 130/80 mmHg, P 84; standing BP 118/72 mmHg, P 90
4. Lying BP 126/74 mmHg, P 74; standing BP 108/62 mmHg, P 84

Question 2

The nurse is instructing a 55-year-old client on ways to reduce the development of illnesses that are the leading cause of death for persons in the same age group. Which of the following is the nurse instructing this client?

1. Need to wear seat belts when operating a motor vehicle
2. Reduction of alcohol intake
3. Need for a annual mammogram, Pap smear, and colonoscopy every 10 years
4. Weight reduction

vickyvicksss · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

2
A decrease in systolic blood pressure of more than 20 mmHg when going from lying to standing, along with an increase in heart rate of 10 beats per minute or a decrease in diastolic blood pressure of more than 10 mmHg, along with a 10 beats per minute increase in heart rate, is considered postural hypotension. The other vital sign measurements do not support the criteria for postural hypotension.

Answer to Question 2

3
The number one cause of death in persons aged 45 to 64 is malignant neoplasms. The nurse's instructions should be on the need for annual mammograms, Pap smears, and colonoscopies every 10 years. Wearing seat belts would address unintentional injury as a cause of death. Reducing alcohol intake would address liver disease as a cause of death. Weight reduction would address heart disease and diabetes mellitus as causes of death.