After a week of bedrest, a client is being assisted to a chair for the first time. The nurse raises the head of the bed and moves the client to a sitting position. Which action should the nurse implement?
Explanation & Rationale
Choice A reason: Supporting the client when rising is important, but it is not the first action. After prolonged bedrest, clients are at risk for orthostatic hypotension. The nurse must first assess how the client feels upon sitting before attempting to stand, as dizziness or fainting may occur. Choice B reason: Determining how the client feels is the most appropriate initial action. This assessment allows the nurse to identify symptoms of orthostatic hypotension, weakness, or dizziness before progressing to standing or transferring. It ensures safety and prevents falls. Choice C reason: Offering nonskid socks is a helpful safety measure, but it is not the priority action. Socks reduce the risk of slipping once the client is standing, but the nurse must first ensure the client can tolerate sitting upright. Choice D reason: Placing the chair by the bed is a preparatory action, but it does not address the immediate risk of orthostatic hypotension. The nurse must prioritize client assessment before arranging equipment.