Answer:
the first action the nurse should take using the nursing process is to monitor the client for hypotension by checking their vital signs. Next, the nurse should instruct the client to remain in bed to prevent a fall due to the risk of hypotension. Then the nurse should notify the provider, who may prescribe a medication to treat hypotension. Next, the nurse should complete an incident report that is thorough, objective, and accurate. The last step the nurse should take is to report the incident to the risk manager.