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While Assessing for Orthostatic Hypotension, the Nurse Follows Which Steps

Question 22

Multiple Choice

While assessing for orthostatic hypotension, the nurse follows which steps when taking the blood pressure? Select all that apply.


A) Check and record blood pressure taken while the client is in the bed.
B) Assist client to a sitting position with feet dangling off the floor.
C) Assist client to standing position and wait 2 minutes before taking his or her blood pressure.
D) Record measurements and report a drop of 25 mm Hg systolic and 10 mm Hg diastolic.
E) Keep the blood pressure cuff attached the whole time.

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