PN Adult Medical Surgical Practice Exam

What is the first action a nurse should take when assisting a client out of bed after a laparoscopic cholecystectomy?

1. Place the client in Fowler's position

2. Obtain the client's blood pressure

3. Dangle the client's legs at the bedside

4. Apply nonskid slippers

The correct answer is: Obtain the client's blood pressure

In the context of assisting a client out of bed after a laparoscopic cholecystectomy, it is crucial to prioritize the client's safety and assess their condition before any physical activity. The correct action is to first obtain the client's blood pressure. This is essential because the postoperative period can affect cardiovascular stability due to factors like anesthesia, blood loss, and the stress of surgery, which can lead to changes in blood pressure. Monitoring the blood pressure helps identify any potential complications, such as hypotension or hypertension, that may arise due to the procedure or the medications administered during and after surgery. If the client's blood pressure is stable, it indicates that they are in a suitable condition to proceed with getting out of bed. Once the nurse confirms that the client is stable, they can then take the subsequent actions, like placing the client in Fowler's position, dangling their legs at the bedside, or applying nonskid slippers, all of which contribute to the safety and comfort of the patient during mobilization. Prioritizing vital assessments, such as blood pressure, ensures that patient safety is the primary concern in the post-operative care process.