The nurse is caring for a postoperative patient. When getting the patient out of bed for the first time postoperatively, which action should the nurse take to maintain safety? (Select all that apply.)
a. Have the patient stand with no assistance.
b. Assist the patient to stand in one motion.
c. Dangle the patient at the bedside.
d. Instruct the patient to place the nurse light on to get up.
e. Use two people to assist patient.
ANS: C, D, E
When patients get up postoperatively, especially for the first time, they may be dizzy and weak. They can be a fall risk. Ideally, two health-care workers should assist the patient to dangle before standing to prevent falls the first time getting up.
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