Safety and Infection ControlQuestion 69 of 2368
A care plan states a client will be ambulated this morning. The client now reports new dizziness and has a lower than usual blood pressure. Which action should the nurse take?
- Ambulate the client slowly because the plan states to do so
- Ambulate the client with a second nurse and recheck the blood pressure afterward
- Hold the planned ambulation, document the findings, and notify the provider of the change in condition
- Delay the ambulation and wait for the client to ask for help
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Correct answer: Hold the planned ambulation, document the findings, and notify the provider of the change in condition
A change in condition can make a planned intervention unsafe. The nurse documents the decision and reports the change.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Nursing Process: Client Safety. Licensed under CC BY 4.0.
Practice the topic "Safety and Infection Control"Questions last reviewed: 18 October 2026