A postoperative patient with a fluid volume deficit is prescribed progressive ambulation, yet is weak from an inadequate fluid status. What should the nurse do to help this patient?
1. Assist the patient to maintain a standing position for several minutes.
2. Recommend that this patient be on bed rest.
3. Assist the patient to move into different positions in stages.
4. Contact physical therapy to provide a walker.
Correct Answer: 3
The patient needs to be taught how to avoid orthostatic hypotension, which involves assisting and teaching the patient how to move from one position to another in stages. The patient should avoid prolonged standing. Bed rest can promote skin breakdown. A physician referral is needed for physical therapy intervention and is not indicated in this situation.
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