The RN working on an orthopedic unit has a postoperative client with a hip replacement who is not transferring well from bed to chair and has fallen behind on the mobility training program. Which is the nurse?s priority action?

1. Page the surgeon.
2. Contact the family to discuss pre-op mobility problems.
3. Instruct physical therapy to increase treatments to QID.
4. Inform the case manager of variance in critical pathway.


4
Explanation: 1. The case manager tracks all variances, reports to the collaborative team, and may revise the
critical pathway. Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical therapy is not within the scope of nursing.

Nursing

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