A nurse has conducted a timed "get up and go" test to assess an older adult's risk for a fall. The patient completes the test in 30 seconds. Based on the finding, what will the nurse do?
A) Continue with the plan of care for this fully mobile patient.
B) Document the time of the test and observe the patient.
C) Develop a care plan for Impaired Physical Mobility.
D) Maintain the patient on bedrest to prevent falling.

Question

Quizplus · Accepted Answer

A time of 30 seconds in the "get up and go" test indicates impaired mobility, suggesting a risk for falls, so a care plan for Impaired Physical Mobility should be developed.

A Nurse Has Conducted a Timed "Get Up and Go