The nurse is preparing to increase the amount of ambulation that the patient is able to tolerate, to prepare for discharge. Which is the best method for the nurse to assess a patient's ability to am-bulate?
a. Interview the patient's visitors.
b. Talk with the patient about the distance to ambulate.
c. Review the patient progress notes.
d. Measure the distances ambulated.
B
Mutual goal setting between the nurse and the patient is a beginning point. Watching the patient ambulate is essential, but working with the patient is beneficial. Even if the patient's visitors are healthcare professionals, the nurse must assess the patient before taking action. Reviewing progress notes provides valuable baseline data for comparison to the nurse's assessment; however, the nurse assesses the patient to determine the nurse's future care. Measuring the distance covered by the patient is valuable information and is one part of the data the nurse gathers for the nursing assessment.
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