A patient’s blood pressure is 118/72 mmHg when lying down and 94/60 mmHg after standing. The patient reports dizziness. Which action is the priority?
Correct answer: A. Assist the patient back to a safe position
- A. Assist the patient back to a safe position
- B. Ask the patient to walk to improve circulation
- C. Repeat the reading after strenuous exercise
- D. Record the result as a normal variation
Explanation
Dizziness with a substantial postural fall in blood pressure creates an immediate risk of syncope and injury. The nurse should support the patient into a safe position first, then reassess and report the finding according to local policy.
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About Vital Signs and Monitoring
Vital signs include temperature, pulse, respiration, blood pressure, oxygen saturation and pain assessment. Coverage includes correct measurement sites and techniques, normal adult ranges, factors that alter readings, trends in patient observations, and the difference between an abnormal finding that needs reassessment and one requiring immediate reporting.
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