A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include?
(Select all that apply.).
Avoid crossing your legs when sitting.
Wear compression stockings.
Drink caffeinated beverages.
Change positions slowly.
Increase your salt intake.
Correct Answer : A,B,D
The correct answer is A, B, and D. These are some of the strategies to prevent orthostatic hypotension, which is a sudden drop in blood pressure caused by a change in posture, such as when a person stands up quickly.
Some explanations for the other choices are:.
• Choice C is wrong because drinking caffeinated beverages can cause dehydration, which can worsen orthostatic hypotension by reducing the fluid volume in the blood vessels.
• Choice E is wrong because increasing salt intake can raise blood pressure, but it can also cause fluid retention, which can strain the heart and kidneys. People with hypertension, heart failure, or kidney disease should limit their salt intake.
Some normal ranges for blood pressure are:.
• Systolic blood pressure (the top number) should be less than 120 mmHg for most adults.
• Diastolic blood pressure (the bottom number) should be less than 80 mmHg for most adults.
• Orthostatic hypotension is diagnosed when there is a drop of 20 mmHg or more in systolic blood pressure or 10 mmHg or more in diastolic blood pressure within 2 to 5 minutes of standing.
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Related Questions
Correct Answer is D
Explanation
The correct answer is D.
Delirium.
The nurse should monitor the client for delirium, which is a state of acute mental confusion that can be caused by fever, infection, dehydration, or medications.
Delirium can affect the client’s cognition, attention, orientation, memory, and behavior.It can also increase the risk of falls, complications, and mortality.
Choice A is wrong because dehydration is not a complication of fever, but rather a possible cause of fever.
Dehydration occurs when the body loses more fluid than it takes in, and it can impair the body’s ability to regulate its temperature.Dehydration is more common and dangerous in older adults because they have a lower volume of water in their bodies, a weaker thirst response, and may have conditions or medications that increase fluid loss.
Choice B is wrong because hypothermia is not a complication of fever, but rather a condition of abnormally low body temperature.
Hypothermia can occur when the body loses heat faster than it can produce it, such as in cold weather or water exposure.Hypothermia can affect the brain, heart, and other organs, and can lead to death if not treated promptly.
Choice C is wrong because seizures are not a common complication of fever in older adults.
Seizures are sudden episodes of abnormal electrical activity in the brain that can cause changes in movement, sensation, behavior, or consciousness.
Seizures can have various causes, such as head injury, stroke, infection, or epilepsy.
Fever-induced seizures are more likely to occur in young children than in older adults.
Correct Answer is ["A","B","C","D","E"]
Explanation
The correct answer isA, B, C, D and E.
All of these statements are true and should be included in the nurse’s education.
Physical activity and exercise have many benefits for older adults with depression, such as:.
• Increasing the levels ofserotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.
• Improvingcardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.
• Reducingstress, anxiety, pain and inflammation, which can worsen depression and affect physical health.
• Enhancingself-esteem, confidence and sense of accomplishment, which can improve self-image, social interaction and coping skills.
• Helping tosleep better at night and feel more refreshed in the morning, which can improve mood, energy and cognitive function.
Choice A is correct because physical activity and exercise can increase the levels of serotonin and endorphins, which are natural mood boosters that can help reduce depression symptoms.
Choice B is correct because physical activity and exercise can improve cardiovascular health, muscle strength, balance and flexibility, which can prevent or delay chronic diseases, reduce the risk of falls and injuries, and enhance functional ability.
Choice C is correct because physical activity and exercise can reduce stress, anxiety, pain and inflammation.
A. Physical activity and exercise can increase your levels of serotonin and endorphins, which are natural mood boosters B.
Physical activity and exercise can improve your cardiovascular health, muscle strength, balance and flexibility C.
Physical activity and exercise can reduce your stress, anxiety, pain and inflammation D.
Physical activity and exercise can enhance your self-esteem, confidence and sense of accomplishment E.
Physical activity and exercise can help you sleep better at night and feel more refreshed in the morning
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