What is the first action a nurse should take to ensure safety for a male patient before helping him to a standing position to use a urinal?

What is the first action a nurse should take to ensure safety for a male patient before helping him to a standing position to use a urinal?

• A. Assess his genitals for signs of impaired skin integrity
• B. Instruct him to use the call light when he is finished
• C. Ask him to demonstrate proper use of a urinal
• D. Determine his risk for orthostatic hypotension

Answer: (D)

Determining the patient's risk for orthostatic hypotension is the first action a nurse should take to ensure safety before helping him to a standing position. Orthostatic hypotension refers to a sudden drop in blood pressure that can occur when an individual moves from sitting or lying down to standing. This condition can lead to dizziness, lightheadedness, and even fainting, which is particularly risky when the patient is getting ready to use a urinal. By assessing the risk for orthostatic hypotension first, the nurse can take appropriate precautions, such as assisting the patient slowly to a standing position or providing support to prevent falls. This proactive approach is crucial to ensure the patient's safety and comfort during the transition. Other considerations, although important, come into play after addressing the immediate risk of falls due to orthostatic hypotension. Understanding a patient's specific needs and situations—like skin integrity or using a call light—would be next steps but should follow after ensuring they are safely positioned and can stand without risk of injury.

Determining the patient's risk for orthostatic hypotension is the first action a nurse should take to ensure safety before helping him to a standing position. Orthostatic hypotension refers to a sudden drop in blood pressure that can occur when an individual moves from sitting or lying down to standing. This condition can lead to dizziness, lightheadedness, and even fainting, which is particularly risky when the patient is getting ready to use a urinal.

By assessing the risk for orthostatic hypotension first, the nurse can take appropriate precautions, such as assisting the patient slowly to a standing position or providing support to prevent falls. This proactive approach is crucial to ensure the patient's safety and comfort during the transition.

Other considerations, although important, come into play after addressing the immediate risk of falls due to orthostatic hypotension. Understanding a patient's specific needs and situations—like skin integrity or using a call light—would be next steps but should follow after ensuring they are safely positioned and can stand without risk of injury.