After shift report, the nurse is preparing to provide morning care to the assigned clients. Which of the following would be the nursing priority when planning care for the client assignment?
1. Gather all equipment and supplies for each client first.
2. Delegate the bed making to the unlicensed assistive personnel.
3. Assess each client's need for assistance with morning care.
4. Notify each client of the schedule for AM care.
3
Rationale: Not every client that the nurse is assigned will need help with ADLs. It is important to determine the level of assistance that each client needs before beginning care. Delegation to the UAP and collection of equipment cannot be done until the nurse determines how much help each client requires. The nurse does not tell the client the schedule for AM care, but asks the client if it would be convenient to receive AM care at this time.
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