Difficulty: Medium
Average Score: 75%
Simulated
A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the following interventions should the nurse take so that the client will best tolerate ambulation?
Correct answer
C
Rationale
Obtaining vital signs and oximetry ensures the client is physiologically stable for ambulation, reducing the risk of complications. A walker, premedication, and dressing reinforcement may be appropriate but are secondary to assessing stability.