The nurse is caring for a postoperative patient. When getting the patient out of bed for the first time after surgery, which actions should the nurse take to maintain safety? (Select all that apply.)
a. Use two people to assist patient.
b. Dangle the patient at the bedside.
c. Assist the patient to stand in one motion.
d. Have the patient stand with no assistance.
e. Instruct the patient to place the nurse light on to get up.
ANS: A, B, E
When a patient is getting up after surgery for the first time dizziness and weakness may occur. The patient is a fall risk at this time. Ideally, two health care workers should assist the patient to dangle before standing to prevent falls the first time getting up. C. The patient should not stand up in one motion. D. The patient needs assistance to stand.
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