HESI Fluid Balance Case Study Questions and answers

Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital sign when she changes position? a. Respiratory rate. b. Blood pressure. c. Temperature. d. Pulse rate. - ANSWER-Blood Pressure Rationale: Fluid volume deficit often causes orthostatic hypotension and tachycardia. Because the client may experience dizziness with orthostatic hypotension, the nurse should take additional safety precautions during this assessment. The nurse plans to assess the client for orthostatic vital sign changes. Which action will the nurse take first? a. Assist the client to a standing position. b. Position the client in a supine position. c. Elevate the head of the client's bed. d. Dangle the client's feet at the bedside. - ANSWER-Position the client in a supine position. Rationale: Orthostatic vital signs are measured in each position: lying, sitting, and standing. The client's vital signs are first assessed in the supine position so that changes that o