Author Question: The nurse knows the following indicates orthostatic hypotension: (Select all that apply.) a. A ... (Read 60 times)

charchew · **on:** Jul 23, 2018

The nurse knows the following indicates orthostatic hypotension: (Select all that apply.)

a. A decrease in systolic blood pressure by 30 mm Hg
b. A decrease in diastolic blood pressure by 10 mm Hg
c. An increase in heart rate by 30 beats/min
d. An increase in systolic blood pressure by 20 mm Hg

Question 2

The nurse is correctly demonstrating the use of a transfer belt when engaging in the following: (Select all that apply.)

a. The belt is placed around the patient's hips.
b. The belt is secure, leaving only enough room for the nurse to grasp the belt.
c. The nurse stands on the weaker side.
d. The nurse holds the belt on the side of the patient.

ryrychapman11 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B, D
A drop in systolic blood pressure of 20 mm Hg, an increase in heart rate of 20 beats/min, or a drop of diastolic blood pressure of 10 mm Hg when a patient stands is classified as orthostatic hypotension.

Answer to Question 2

ANS: B, C
Transfer belts should be used for patients with an unsteady gait or generalized weakness. Canvas transfer or gait belts are applied snugly around the patient's waist, leaving only enough room for the nurse to grasp the belt firmly during ambulation. Some belts may have handles. If the patient has a weaker side, the nurse should stand on that side and hold the gait belt firmly at the back of the patient's waist while ambulating.