The patient is admitted to a skilled care unit for rehabilitation 10 days after the surgical procedure of fixation of a fractured left hip and has a nursing diagnosis of
Impaired physical mobility related to musculoskeletal impairment from surgery and pain with movement. The patient is able to use a walker but needs assistance ambulating and transferring from the bed to the chair. Which of the following nursing interventions is most appropriate for this patient?
a. Obtain assistance and physically transfer the patient to the chair.
b. Assist the patient with ambulation and measure how far she walks.
c. Withhold pain medication so that she can ambulate with a clear mind.
d. Bring the patient to the cafeteria for group instruction on ambulation.
ANS: B
Assess the patient as she walks and measure how far she walks to quantify progress. The nurse should allow the patient to do as much for herself as possible. Therefore, she should observe the patient transferring from the bed to the chair using her walker, and should provide assistance as needed. The patient should be encouraged to use adequate pain medication to decrease the effects of pain and to increase mobility. The patient should be instructed on safe transfer and ambulation techniques in an environment with few distractions.
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