The physician has ordered ambulation for the 63-year-old client who has had surgery and has been in bed for three days. The nurse plans to do which of the following for this client?
1. Begin ambulation immediately after breakfast.
2. Pre-ambulation exercises
3. Obtain assistance with transfer of the client.
4. Perform passive ROM before ambulating.
2
Rationale: Anticipating that the client's muscles will be weak, the nurse will plan to help the client perform pre-ambulation exercises to help regain strength in the muscles before attempting to walk the client. It would be best to wait an hour or two after meals to ambulate. Passive ROM will not help to strengthen muscles, although active ROM will be helpful. The nurse is not preparing to transfer the client, and will need to determine if assistance is required by the client's pre-bedrest activity level.
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