This topic contains a solution. Click here to go to the answer

Author Question: The patient has been admitted for hypertension. His blood pressure is normally in the 160/90 range. ... (Read 52 times)

jrubin

  • Hero Member
  • *****
  • Posts: 552
The patient has been admitted for hypertension. His blood pressure is normally in the 160/90 range. He has been on bed rest for the past few days, and the doctor has started him on a new blood pressure medication.
 
  The nurse is assisting the patient to move from the bed to the chair for breakfast, but when the patient tries to sit up on the side of the bed, he complains of being dizzy and nauseous. The nurse lays the patient down and takes his vital signs. His pulse is 124 . His blood pressure is 130/80 . This blood pressure is indicative of what? a. A normal blood pressure for this patient
  b. Orthostatic hypotension
  c. Orthostatic hypertension
  d. Effective baroreceptor function

Question 2

When teaching about blood pressure measurement in the home, the nurse instructs the client to:
 
  A. Reduce extraneous noise
  B. Take the blood pressure measurement after exercising
  C. Assess the blood pressure at different times each day
  D. Repeat attempts at measurement several times at the same location until it is heard



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

scottmt

  • Sr. Member
  • ****
  • Posts: 322
Answer to Question 1

B
Orthostatic hypotension is a drop in blood pressure that occurs when the patient changes from a horizontal to a vertical position. It traditionally is defined as a drop in systolic or diastolic blood pressure of 20 or 10 mm Hg, respectively. Those at higher risk are immobilized patients, those undergoing prolonged bed rest, the older adult patient, those receiving antihypertensive medications, and those with chronic illness, such as diabetes mellitus or cardiovascular disease. Signs and symptoms of orthostatic hypotension include dizziness, light-headedness, nausea, tachycardia, pallor, and even fainting. Orthostatic hypertension would be an increase in blood pressure. Physiological changes associated with aging and prolonged bed rest may reduce the effectiveness of the baroreceptors. In these patients, moving to the dangling position may cause a gravity-induced drop in blood pressure; thus, it is recommended to raise the head of the bed and allow a few minutes before dangling.

Answer to Question 2

A
A. Eliminate extraneous noise such as television and conversation if client must use stethoscope to measure BP.
B. Encourage client to avoid exercise, caffeine, and smoking for 30 minutes before assessment to avoid inaccurate reading.
C. Encourage client to perform measurements on routine schedule for long-term monitoring plan. A routine schedule allows for daily comparisons.
D. If pressure is still inaudible or difficult to obtain, try alternative methods such as using the other arm or changing to electronic equipment for measurement.




jrubin

  • Member
  • Posts: 552
Reply 2 on: Jul 24, 2018
:D TYSM


cpetit11

  • Member
  • Posts: 321
Reply 3 on: Yesterday
Excellent

 

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

In most climates, 8 to 10 glasses of water per day is recommended for adults. The best indicator for adequate fluid intake is frequent, clear urination.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

For a complete list of videos, visit our video library