The nurse is to measure blood pressures to detect orthostatic hypotension. To obtain the data, which of the following actions should the nurse take? (Select all that apply.?
A) Use the correct size blood pressure cuff for the patient.
B) Have the patient refrain from smoking for at least 4 hours prior to the test.
C) Instruct the patient not to eat or drink for 30 minutes prior to the test.
D) Obtain supine reading with patient lying with head of bed elevated 30 degrees for 30 minutes.
E) Assist the patient to a sitting position, wait 3 minutes, and take the pulse and blood pressure.
F) Take pulse and blood pressure readings immediately upon assisting the patient to stand.
Correct Answer:
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