You are helping a client who has been confined to bed for over a week prepare for walking again. Which of the following measures should you specifically take to help prevent orthostatic hypotension in the client?

1) Quadriceps and gluteal drills
2) Pull-ups using a trapeze bar
3) Dangling the feet
4) Brushing the hair

In order to prevent orthostatic hypotension for a client, the most suitable measure is dangling the feet. This practice stimulates blood flow to prevent a sudden drop in blood pressure when the patient starts walking again after being bedridden.

Explanation:

To prevent orthostatic hypotension, a condition characterized by a sudden fall in blood pressure when a person stands up, it is advisable to use slow, gradual movements to start mobilizing the patient. In this case, the most suitable measure is 3) Dangling the feet

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Dangling the feet refers to the practice of getting the patient to sit on the edge of the bed with their feet hanging down. This helps stimulate blood flow before the person stands up, which can prevent a sudden drop in blood pressure. It is a common technique used to help patients re-adjust to standing after a long period of bed rest.

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While quadriceps and gluteal drills can help with muscle strength, and pull-ups using a trapeze bar can support upper body strength, neither specifically addresses the concern of orthostatic hypotension. Brushing the hair, while a caring gesture, has no physical implications for vertigo prevention.

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