Practice Quiz

NCLEX-PN

Category - Physiological Adaptation

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The nurse is assessing a female client who is admitted for an elective surgery. Which of the following findings requires further evaluation by the physician?
  1. BP on the left arm = 110/80; BP on the right arm = 115/85
  2. BP when lying = 110/80, BP when standing = 85/70
  3. The client reports that she has voided 6 times in the past 24 hours
  4. A pulse is heard on the carotid artery on auscultation
Explanation
Answer: B - Greater than 25 mm difference in systolic blood pressure or more than 10 mm difference in diastolic blood pressure between lying, sitting, and standing needs further evaluation. These findings indicate orthostatic hypotension. The other options are normal findings.
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