A client receiving pain medication is sleepy yet able to be aroused. The client's activity level is "out of bed to a chair and ambulate in the hallway four times a day."
If the nurse applies practical knowledge, which of the following should be done? 1. Continue to assess the client and assist the client out of bed when less sleepy.
2. Provide a cold compress to the client's face and assist to a sitting position.
3. Have another health care provider assist the nurse to ambulate the client in the hallway.
4. Assist the client to a sitting position and transfer to a chair.
Continue to assess the client and assist the client out of bed when less sleepy.
Rationale: The client is sleepy but able to be aroused. The nurse should not attempt to get the client out of bed to ambulate while in this condition. The nurse should not attempt to wake the client up with a cold compress, nor should the nurse assist the client to a sitting position and transfer to a chair. It is unsafe for the nurse and another health care provider to ambulate the client while the client is sleepy.
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