I'm a 1st semester nursing student and we've just had our first test, one week in. I did good as a whole, but one of the questions really stuck out to me and I want to see if I'm remembering my Anatomy and Physiology right or what. The question was something to the effect of:
For which of these client conditions would you notify the physician?
A. A temperature of 98.6
B. something else I don't remember
C. blood pressure drops upon standing
D. decrease in body temp temperature following diaphoresis
Well, I knew A and B were both normal conditions, so it was between C and D. I didn't know what diaphoresis was, so I wasn't sure if that was a normal finding or not. I considered C, but I remember doing a lab in physiology in which we measured someone's blood pressure sitting down, then immediately upon standing, then one minute after standing. The results were that your blood pressure drops rapidly upon standing up due to all the blood rushing downwards, then re-regulates itself within a minute or so. So I decided that BP dropping upon standing would be a normal finding. That left my only choice as D, a decrease in body temperature following diaphoresis.
Aftrerwards I saw that I had gotten it wrong, and that the answer was C. I discussed it with my instructor afterwards, who explained that diaphoresis is sweating, so I understand that D is not the right answer, and she said they might throw the question out because we're only one week into the course and haven't had specific nursing terms like diaphoresis. Apparently with C, they were looking for orthostatic hypotension, which I kind of understand, too, but if I'm remembering my physiology right, maybe they should have written it as "blood pressure drops upon standing and does not return to normal within x amount of time."