ATI Nurs 112 Fundamentals of Nursing Exam | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Assist the patient to sit and stand slowly when getting out of bed. This is the priority action because orthostatic hypotension is a condition where blood pressure drops significantly when changing positions, leading to dizziness or fainting. By assisting the patient to sit and stand slowly, the nurse can prevent a sudden drop in blood pressure and decrease the risk of falls or injury.


Choice A is incorrect because although it is important to monitor blood pressure, manually taking it with a sphygmomanometer may not address the immediate risk of orthostatic hypotension.
Choice B is incorrect as monitoring neurological status for stroke symptoms is not directly related to managing orthostatic hypotension.
Choice D is incorrect as checking blood pressure on a lower extremity using a thigh-sized cuff is not a standard practice for orthostatic hypotension.

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