Prior to ambulating the client to the bathroom whose admission hemoglobin level was 10.2 g/dL, the nurse should:
a. request repeat hemoglobin and hematocrit.
b. assess the resting pulse rate.
c. dangle her on the side of the bed.
d. administer the ordered oral analgesic.
ANS: C
Clients with a low hemoglobin level prior to birth will most likely have a drop in the hemoglobin level following birth. A low hemoglobin level will result in dizziness and place the client at risk for fainting when first ambulating. Dangling the client on the side of the bed prior to standing will allow for the blood pressure to stabilize and prevent fainting. Requesting additional labs will delay ambulation at a time when the client needs to empty her bladder, assessing the resting pulse rate will not provide any information about the effect of ambulation on her cardiovascular system, and administering an ordered oral analgesic may contribute to feelings of faintness.
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