Nursing fundamentals - Activity and Exercise Question

[swansonplace]

Mr. Stone has been on bed rest for several days. When he attempted to walk with assistance, he became dizzy and nauseated.

The most likeley symptoms of which of the following?

1. Rebound hypertension, 2. Orthostatic hypotension 3, Dysfunctional proprioception 4. Central nervous system rebound hypotension

Answer 2. Orthostatic hypotension

What are the appropriate action(s) for Mr. Stone?(Choose all that apply)

1. Call for assistance

2. Allow Mr. Stone to sit down.

3. Take Mr. Stone's blood pressure and pulse.

4. Continue to ambulate Mr. Stone so he begins to build up endurance

Answers: 1,2 3

Question: Why should I call for assistance if I know it is orthostatic hypotension. After I take the blood pressure and pulse to find out what the status is, then I would figure out what is needed. Could you please explain why it would be appropriate to call for assistance? The question any says that Mr. Stone became dizzy and nauseated. He did not fall down.

[Jolie, BSN]

Someone who is dizzy and nauseated is at risk of falling. Good thing that hasn't happened yet. You want to prevent it. So as you call for help, you help him to a sitting position, assess him to ensure that there is not a serious cause for his symptoms, and allow him to rest. You are likely to need a second person to help get him safely back to bed. If your assessment had indicated a more serious problem than orthostatic hypotension, you would definitely need a second person to help.

It's not necessary to do everything yourself. Sometimes you need a second pair of hands to assure basic safety.

[yesitslaura]

Bleh! See it depends on your class/book. We had a similar question, except the answer was 2 and 3 only. They more or less said calling for assistance was using up unecessary resources.

[starmickey03, MSN, RN]

Bleh! See it depends on your class/book. We had a similar question, except the answer was 2 and 3 only. They more or less said calling for assistance was using up unecessary resources.

Yup! Same thing with my textbook. I believe it said something along the lines of calling for help isnt necessary because they didnt actually fall down, which doesnt make it an emergency. If the person HAD fell down then you would call for help.

Which textbook are you using? My school uses Taylor.

[CuriousMe]

I'd call for help. If he's dizzy, it will be safer to get him to back to bed with another person.

[swansonplace]

I am using Nursing Fundamentals, Harry Potter. Thanks. I was thinking along the lines that he was dizzy, and had not fallen. The reasoning of not using too many resources was my thinking for not asking for help given I could handle things by myself as he was not on the ground.

[swansonplace]

This is a great help. I have my first test this tuesday. It's a bit nerve wracking. Thank you again.

[CuriousMe]

I am using Nursing Fundamentals, Harry Potter. Thanks. I was thinking along the lines that he was dizzy, and had not fallen. The reasoning of not using too many resources was my thinking for not asking for help given I could handle things by myself as he was not on the ground.

I understand that reasoning, I guess I went the other way because, as he is dizzy....what happens if he starts to fall on the way back to the bed? By yourself, the best you can do is try to control his fall, someone else on the other side could prevent him from going down.

It would only take the other person a minute or so in the room with you.

You're right, it's not an emergency....I just figured with someone on his other side, there's a better chance we'll get back to the bed without it becoming one.

[swansonplace]

My book figured the same thing. Two people would be better than 1.

[rit3ousk155]

hahaha, I always call this book Harry Potter too. :)