Author Question: The nurse assists a client from the bed into a wheelchair. Which items will the nurse include when ... (Read 111 times)

tnt_battle · **on:** Jun 25, 2018

The nurse assists a client from the bed into a wheelchair. Which items will the nurse include when documenting this transfer in the medical record?

Select all that apply.
1. The number of assistants required for the transfer
2. The education provided to the unlicensed assistive personnel (UAP) who assisted
3. Any education provided to the client and family
4. A description of the positioning aides that were used
5. The client's tolerance of the transfer

Question 2

The nurse assists the client to ambulate for the first time, and documents the distance, pace, and support required. What item is also appropriate for the nurse to include in the documentation for this client?

1. Activity tolerance
2. Client's sense of security
3. Use of a gait belt
4. Where the client walked

Natalie4ever · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1,3,4,5

Answer to Question 2

Correct Answer: 1

In addition to the information supplied, the nurse should document how the client tolerated the activity, including vital signs, complaints of pain or discomfort, and strength. Client's sense of security, use of a gait belt, and where the client walked have already been documented.