NCLEX-RN
Exam for RN Cardiovascular NCLEX Exam Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the outpatient clinic is caring for a 37-year-old male client
Item 1 of 1
Nurses' Note Physician Orders Current Medications
1100: The client reports intermittent dizziness that started following the dosage increase of his prescribed spironolactone one week ago. The client states that it is worse for a few hours after he takes the medication but then resolves. On assessment, the client is alert and oriented. The client's breathing is unlabored and has clear lung fields bilaterally. Skin warm to the touch and pink in tone; pulses 2+ and regular. Capillary refill is 3 seconds. He denies any pain.
Vital signs: T 98.6° F (37° C), P 76, RR 16, BP 130/86, pulse oximetry reading 98% on room air. Medical history of hypertension and hyperlipidemia.
Question 1 of 5
The nurse prepares to obtain the client's orthostatic blood pressure (BP) by first positioning the client …………. then positioning the client …………. the client …………. When obtaining the blood pressure, the nurse should ……………….. The nurse should be concerned for orthostatic hypotension if the systolic blood pressure decreases by ………….. or the diastolic blood pressure decreases by……………….
Correct Answer: B,C,A,E,G
Rationale: Orthostatic BP is measured supine (
B), then sitting (
C), then standing (
A). The cuff should stay in the same position (E). A drop of 20 mm Hg systolic (G) or 10 mm Hg diastolic
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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