The nurse is working with postoperative clients on a surgical unit. One aspect of care is manipulation of the client's environment. What does this involve on the part of the nurse?

Question

a. Delegating ambulation of clients to the unregulated care provider
b. Providing pain medication to the client before a dressing change
c. Maintaining client privacy during procedures
d. Repositioning the client q2h

Answer 1

C
Maintaining client privacy during procedures that may require some body exposure is an example of manipulating the client's environment. A care environment must be safe and conducive to implementation of therapies.
Delegating ambulation of clients to the unregulated care provider is an example of organizing personnel (resources) for care delivery.
Providing pain medication before a dressing change is an example of organizing care delivery specific to the client. Before beginning to perform interventions, the nurse should make the client as physically and psychologically comfortable as possible.
Repositioning the client q2h is an example of organizing care delivery to promote client comfort and prepare the client for nursing intervention.