Before ambulating a male client with an indwelling catheter and an IV infusion, what is the most appropriate first action?

• A. Ask the client to push the IV pole to the chair
• B. Pre-medicate the client with an analgesic
• C. Inform the client of the plan for moving to the chair
• D. Assess the client's blood pressure

Answer: (D)

Assessing blood pressure before ambulating is essential because it shows whether the patient can tolerate moving to an upright position without dizziness or fainting. With an indwelling catheter and IV, a sudden drop in blood pressure or orthostatic change can lead to a fell or dislodgement of lines, so confirming stability takes priority over other steps. If the BP is within a safe range and there are no symptoms of instability, you can proceed with the plan and assist the patient to the chair while ensuring the IV and catheter are secured. Pain control and informing the patient of the plan are important but do not establish immediate safety for ambulation as the first step.