Which action would the nurse suggest when a client reports feeling faint and lightheaded upon rising to a standing position after a spinal fusion surgery?
Explanation & Rationale
A. Have the client bend forward to increase blood flow to the brain is incorrect because bending forward does not effectively address orthostatic hypotension and may increase the risk of falls or strain on the spine after surgery. B. Have the client slide to the floor with assistance to avoid injuring the client is incorrect because this is not a safe first-line intervention. While preventing injury is important, allowing the client to slide to the floor increases the risk of trauma and does not address the underlying issue of lightheadedness. C. Have the client sit on the edge of the bed so the nurse can hold the client upright is correct. Sitting on the edge of the bed allows gradual adaptation to an upright position, which helps prevent orthostatic hypotension. The nurse can monitor the client, provide support, and assess vital signs before attempting to stand fully, reducing the risk of falls and injury after spinal fusion surgery. D. Have the client lie down immediately so the nurse may obtain the client's blood pressure is partially correct in terms of safety, but sitting first allows the cardiovascular system to adjust gradually and is the recommended step before lying flat or standing. Immediate lying down may not address the patient’s fear and may delay functional mobility.