The nurses assessment of an older adult client reveals the following data: Lying BP $144 / 82 \mathrm{~mm} \mathrm{Hg}$; sitting BP 121/69 mm Hg; standing BP $98 / 56 \mathrm{~mm} \mathrm{Hg}$. The nurse should consequently identify what nursing diagnosis in the patients plan of care?

Question

Quizplus · Accepted Answer

Orthostatic hypotension creates a significant risk for falls due to the dizziness and lightheadedness that accompanies it. It does not normally affect breathing or fluid balance. The patients ability to perform normal roles may be affected, but the risk for falls is the most significant threat to safety.

The Nurses Assessment of an Older Adult Client Reveals the Following