Difficulty: Medium
Average Score: 82%
Simulated
A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?
Correct answer
D
Rationale
Checking BP supine first establishes a baseline for orthostatic hypotension (drop >20/10 mmHg on position change). Standing (A) and sitting (C) follow, with measurements (B) after each. Supine BP is the initial step per protocol.