The nurse is planning to delegate ambulation of the client to the unlicensed assistive personnel (UAP). In order to provide proper instructions to the UAP, which action by the nurse is the most appropriate?
1. Ambulating the client first and then having the UAP ambulate the client
2. Quizzing the UAP to assure appropriate understanding of how to ambulate the client
3. Assessing the client's ability to ambulate
4. Observing the client ambulating
Correct Answer: 3
The nurse must first assess the client's ability to ambulate so proper instructions can be provided to the UAP. Ambulating the client first would tire the client, and there would be no need to delegate to the UAP. Quizzing the UAP would not be productive. If the nurse is uncertain about the UAP's abilities, the nurse would assist in ambulating the client and would evaluate the UAP's performance. Observing the client as she ambulates would not allow the nurse to provide thorough instructions to the UAP before ambulating the client.
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