Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Nurses' NotesVital Signs
Laboratory Results
3 months ago:
Client seen in provider's office for routine physical. Today:
Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.
A nurse in a provider's office is caring for a client who reports dizziness and light-headedness upon standing and waking up at night to void. What actions should the nurse take? Select all that apply.
Correct answer
A,D,E
Rationale
The correct actions are A, D, and E. A is correct because dizziness and light-headedness can be symptoms of dysrhythmias, so monitoring for any abnormal heart rhythms is crucial. D is correct because the client's symptoms suggest orthostatic hypotension, so checking for this condition is important. E is correct because advising the client to change positions slowly can help prevent dizziness and falls associated with orthostatic hypotension. B is incorrect as restricting potassium intake is not indicated for these symptoms. C is incorrect as there is no mention of medication in the scenario.