A nurse is caring for a client who is taking antihypertensive medication and is

moving from a supine to a seated position. Which of the following findings should

indicate to the nurse that the client is experiencing orthostatic hypotension?

The clients systolic blood pressure decreases by 25 mmHg

The clients systolic blood pressure increases by 35 mmHg

(ANS - The clients systolic blood pressure decreases by 25 mmHg

While a nurse is caring for a client who is receiving mechanical ventilation via an

endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the

following actions should the nurse take?

a.Look for a block in the tubes cuff

b.Look for a leak in the tubes cuff

(ANS - Look for a leak in the tubes cuff

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of

the following actions should the nurse take first?

Monitor Vital Signs every hour throughout the transfusion

Position the sterile drape leaving the perineum exposed

(ANS - Position the sterile drape leaving the perineum exposed

A nurse is planning to administer packed RBC's to an older adult client who has a

low hemoglobin level. Which of the following actions should the nurse plan to

take?

Monitor Vital Signs every hour throughout the transfusion

Monitor RR every hour throughout the transfusion

(ANS - Monitor Vital Signs every hour throughout the transfusion