Reference no: EM133697117

Question

Mrs. Pearson is a 48-year-old client who returned to the surgical unit after an abdominal Cholecystectomy. She has received Morphine for pain in the recovery room. She has an IV infusion, Foley catheter, an NG tube, and a drainage system beside her incision. Post-operative orders include: IV Ringers Lactate to infuse at 100 mL/hr Ice chips orally Gravol 50 mg IV for nausea Q6H prn for nausea Morphine 15 mg IM Q4H prn for pain The nurse is preparing to ambulate the client for the first time since surgery. In order to decrease the potential for orthostatic hypotension, the nurse should plan to:

Have the client stand at the bedside for 5 minutes before walking Have the client transfer directly from the bed to a bedside chair Elevate the head of the bed before having the client sit on the side of the bed Avoid administering narcotics for 30 minutes before ambulating the client.