A student is ambulating a client for the first time after ...

[Mr. Wonderful]

A student is ambulating a client for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
 
  A) Take the client's vital signs after ambulation.
  B) Ask the client's wife to assist with ambulation.
  C) Delay ambulation until the following shift.
  D) Ask another student to help with ambulation.

Question 2

A client who was previously awake and alert suddenly becomes unconscious. The nursing plan of care includes an order to increase oral intake. Why would the nurse review the plan of care?
 
  A) To implement evidence-based practice
  B) To ensure the order follows hospital policy
  C) To be sure interventions are individualized
  D) To be sure the intervention is safe

[tandmlomax84]

Answer to Question 1

Ans: D

Unexpected outcomes do occur, such as the risk of a fall for the postoperative client who is ambulated for the first time. In anticipation, the student caregiver could ask another student to help ambulate the client, thus decreasing this risk.

Answer to Question 2

Ans: D

Nurses reassess the client and review the plan of care before initiating any nursing intervention. This is done to make sure that the plan of care is still responsive to the client's needs, and is safe for the particular client. In this case, the nurse would not give oral fluids to an unconscious client.

[Mr. Wonderful]

TYSM

[ktidd]

Thanks for the timely response, appreciate it