The nurse is preparing to ambulate a client for the first time after prolonged intensive care admission for pneumonia with respiratory failure and 14 days on a mechanical ventilator. Which of the following actions should the nurse perform prior to ambulation?
Swiftly stand the client from a supine position.
Ask the client to hold his or her arms straight out for balance.
Have the client transition from sitting to standing several times.
Apply a gait belt to the client’s waist.
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