A person has drainage from an intestinal fistula that is being managed at home while it heals. A home health nurse visits regularly to change the dressing. Today, the person is already lying down when the nurse arrives and reports feeling “weak and dizzy” when standing up. Supine blood pressure is 92/70, and the heart rate is 78. While attempting to sit up, the person slumps sideways and is temporarily unresponsive. Systolic blood pressure was 77 before the person fell sideways, and the heart rate was very fast. The person has regained consciousness. Which action would be taken by the nurse before contacting the person’s primary healthcare provider? Give the person water to drink.Assess for ankle edema and pulses.Place the person in a sitting position.Ask if the person slept well last night.
[Solved]: A person has drainage from an intestinal fistula…
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