If a client taking doxepin experiences dizziness upon standing, what should the nurse recommend?

Recommending that the client get up slowly and dangle their feet before standing is an appropriate response for someone experiencing dizziness, particularly if they are taking doxepin, which is a tricyclic antidepressant. This medication can cause orthostatic hypotension, a condition where blood pressure drops significantly upon standing, which may lead to dizziness or lightheadedness.

By encouraging the client to dangle their feet before standing, the nurse helps the client adjust to the change in position gradually, which can aid in stabilizing blood flow and preventing a sudden drop in blood pressure. This practice allows the client's body time to adjust and can reduce the risk of falling or experiencing further dizziness.

In contrast, taking a hot shower may exacerbate blood pressure changes and lead to increased dizziness. Staying in bed may not address the issue of dizziness effectively, as it can lead to further deconditioning and not allow the body to adjust to standing. Limiting fluid intake can also be counterproductive because adequate hydration is important for maintaining blood volume and circulation, especially in individuals prone to orthostatic hypotension.