The Care Plan of an Older Adult Patient States That

The care plan of an older adult patient states that the patient should be monitored while in the bathroom because of a history of vasovagal reflex.The nurse knows that she should assess for:

A) Extremely elevated blood pressure after ambulation
B) Nausea and vomiting after a meal
C) Lightheadedness and fainting during defecation
D) Inability to urinate