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?
Ask the client to hold his or her arms straight out for balance.
Have the client transition from sitting to standing several times.
Swiftly stand the client from a supine position.
Apply a gait belt to the client’s waist.
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