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What is the most important measure to ensure client safety with orthostatic hypotension?

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Final answer:

To ensure client safety with orthostatic hypotension, managing fluid intake, salt intake, and medication is key, as well as monitoring and controlling blood glucose levels in those with diabetes. Gradual position changes and careful blood pressure monitoring are also crucial measures to prevent dizziness or falls.

Step-by-step explanation:

The most important measure to ensure client safety with orthostatic hypotension involves addressing blood volume and autonomic system issues. Since hypovolemia, caused by dehydration or medications such as diuretics and vasodilators, can contribute to low blood volume, regulating medication and increasing fluid and salt intake may improve symptoms. Autonomic failure, often seen with conditions like diabetes, may also lead to orthostatic hypotension; thus, managing blood glucose levels can help mitigate the neurological deficits associated with this condition. When assisting a client with orthostatic hypotension, careful monitoring of blood pressure is crucial.

A healthcare professional may use a blood pressure cuff and stethoscope to assess blood pressure before and after position changes to ensure stability. Teaching clients to make gradual position changes, staying hydrated, and monitoring the intake of blood-pressure-affecting substances can significantly help in preventing the dizziness and potential falls associated with orthostatic hypotension.

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