The nurse is assigned to Mr. Sweeney, 2 days post surgery fo…
The nurse is assigned to Mr. Sweeney, 2 days post surgery for a fractured hip, for the 7am to 3pm shift. At 10:00am the nurse receives and order for the patient “to get the patient out of bed and to sit in a chair for 30 minutes”. Mr. Sweeney becomes short of breath and reports sudden chest pain while being transferred from the bed to a chair. The nurse quickly recognizes the patients changing condition. The nurse immediately returns the patient to bed, raises the head of the bed and starts oxygen at 2 Liters via a nasal cannula. Which step in the Nursing Process is the next step.