If a patient has positive orthostatic vitals and reports dizziness, what is an appropriate nursing action?

If a patient has positive orthostatic vitals and reports dizziness, what is an appropriate nursing action?

• A. Give fluids
• B. Stop infusions and discharge
• C. Administer analgesics
• D. Initiate restraints

Answer: (A)

Positive orthostatic vitals with dizziness point to orthostatic hypotension from reduced circulating volume. The primary nursing action is to restore intravascular volume by giving fluids, which increases venous return to the heart and helps raise blood pressure, easing the dizziness. Start with oral fluids if the patient is alert and able to swallow, and recheck vital signs after fluids to assess improvement. If oral intake isn’t possible or more rapid correction is needed, administer IV fluids as ordered and monitor intake and output, electrolyte balance, and the patient’s response. While fluids are being given, keep the patient safely positioned—avoid sudden standing and provide support to prevent falls. Also assess for underlying causes such as dehydration, bleeding, or medications that lower blood pressure and adjust as needed. Stopping infusions and discharge, giving analgesics, or using restraints do not address the underlying issue and are not appropriate in this scenario.

Positive orthostatic vitals with dizziness point to orthostatic hypotension from reduced circulating volume. The primary nursing action is to restore intravascular volume by giving fluids, which increases venous return to the heart and helps raise blood pressure, easing the dizziness. Start with oral fluids if the patient is alert and able to swallow, and recheck vital signs after fluids to assess improvement. If oral intake isn’t possible or more rapid correction is needed, administer IV fluids as ordered and monitor intake and output, electrolyte balance, and the patient’s response. While fluids are being given, keep the patient safely positioned—avoid sudden standing and provide support to prevent falls. Also assess for underlying causes such as dehydration, bleeding, or medications that lower blood pressure and adjust as needed. Stopping infusions and discharge, giving analgesics, or using restraints do not address the underlying issue and are not appropriate in this scenario.