(a) Flex and extend the knees, pressing the backs of the knees down
toward the mattress on extension.
(b) Alternately, point the toes toward the chin (dorsiflex) and toward the
foot of the bed (plantar flex); then, make a circle with the toes.
Raise and lower each leg, keeping the leg straight.
Repeat leg exercises every 1 to 2 hours.
Ambulate the patient as ordered.
Provide physical support for the first attempts.
Have the patient dangle the legs at the bedside before ambulation.
Figure 8-8. Leg exercises.
Monitor the patient's blood pressure while he dangles.
(d) If the patient is hypotensive or experiences dizziness while dangling,
do not ambulate. Report this event to the supervisor.
c. Urinary System. Patients who have had abdominal surgery, particularly in the
lower abdominal and pelvic regions, often have difficulty urinating after surgery. The