NUR 209 LAB ASSESSING BP USING AN AUTOMATED OSCILLOMETRIC DEVICE

The nurse is giving instructions to the client about the procedure for measuring orthostatic hypotension. The nurse explains that for each measurement, the client will have to remain in the position for approximately how long?

3 minutes

The nurse is assessing a client for orthostatic hypotension and is obtaining the blood pressure while the client is sitting at the edge of the bed with the feet dangling. The client states, 'I am feeling a bit dizzy.' The client is pale and beginning to perspire. What action will the nurse perform?

Have the client lie down in the bed.

The nurse is teaching a class on vital signs to a group of new unlicensed assistive personnel (UAP). What will the nurse teach the UAP about the proper use of an electronic blood pressure machine when taking vital signs on an adult client? Select all that apply.

Wrap the cuff around the arm snugly Line up the artery mark with limb artery Select an adult setting on the machine

The nurse is preparing to measure an adult's orthostatic blood pressure. Place the following steps of the procedure in the correct order. Use all options.

1)Assist the client into a supine position 2)Wait 3 to 10 minutes, then measure the client's blood pressure 3)Assist the client to the sitting position with legs dangling 4)Wait 1 to 3 minutes, then measure the client's blood pressure 5)Assist the client to a standing position 6)Wait 2 to 3 minutes, then measure the client's blood pressure

The nurse is obtaining serial blood pressure measurements on a client having hypertension medication adjustment. What assessment is most important for the nurse to perform frequently?

Determine if there is compromised circulation in the limb.

the nurse will assess the client for orthostatic hypotension. What symptom(s) alerts the nurse that the client is experiencing hypotension? Select all that apply.

Diaphoresis Pallor Dizziness

What is most important for the nurse to do when using an automatic electronic device to obtain serial blood pressure readings?

Ensure the cuff is the appropriate size.

When preparing to measure orthostatic hypotension, the nurse will start by placing the bed in which position?

The lowest position

The nurse has completed assessing for orthostatic hypotension and documents the results. What result indicates to the nurse the client is experiencing orthostatic hypotension?

decrease in systolic pressure 20 mm Hg or higher