Deck 11: Mobilizing the Client

Question 1

The nurse is planning to assign ambulation of a client to the assistive personnel (AP). In order to provide proper instructions to the AP, which action by the nurse is the most appropriate?

A) Ambulating the client first and then having the AP ambulate the client
B) Quizzing the AP to assure appropriate understanding of how to ambulate the client
C) Assessing the client's ability to ambulate
D) Observing the client ambulating

Answer 1

C
Explanation:1. Ambulating the client first would tire the client, and there would be no need to delegate to the AP.
2. Quizzing the AP would not be productive. If the nurse is uncertain about the AP's abilities, the nurse would assist in ambulating the client and would evaluate the AP's performance.
3. The nurse must first assess the client's ability to ambulate so proper instructions can be provided to the AP.
4. Observing the client ambulate would not allow the nurse to provide thorough instructions to the AP before ambulating the client.

Question 2

The client needs to ambulate using a walker. Which activity could the nurse safely assign to the assistive personnel (AP)?

A) Documenting that the AP cannot ambulate a client who requires assistive devices
B) Teaching the client how to use the walker
C) Evaluating the client's ability to use the walker properly
D) Ambulating using the walker after the client demonstrates adequate skill

Answer 2

D
Explanation:1. The nurse can assign ambulation of the client to the AP after the client has learned the skills as evidenced by demonstration. APs may help clients walk with assistive devices but cannot teach the client how to use the walker or evaluate his performance.
2. The nurse can assign ambulation of the client to the AP after the client has learned the skills as evidenced by demonstration. APs may help clients walk with assistive devices but cannot teach the client how to use the walker or evaluate his performance.
3. The nurse can assign ambulation of the client to the AP after the client has learned the skills as evidenced by demonstration. APs may help clients walk with assistive devices but cannot teach the client how to use the walker or evaluate his performance.
4. The nurse can assign ambulation of the client to the AP after the client has learned the skills as evidenced by demonstration. APs may help clients walk with assistive devices but cannot teach the client how to use the walker or evaluate his performance.