A nurse is preparing to perform a physical examination on a patient who has mobility issues. In preparing for the examination, the nurse should do which of the following?
a. Be sure that a well-equipped examination room is available.
b. Tune the radio to the nurse's favorite station to relax the patient.
c. Perform thorough hand hygiene before preparing equipment.
d. Instruct the patient on the safest way to transfer onto the examination table.
C
Perform hand hygiene before equipment preparation and the examination. A well-equipped examination room is preferable, but often the examination occurs in the patient's room. In the home you may perform the examination in the patient's bedroom. Be sure to eliminate other sources of noise, take precautions to prevent interruptions, and make sure the room is warm enough to maintain comfort. Patients with mobility impairments require safe transfer to an examination table. The patient is the expert and should be asked how to safely move from the bed to the table, either with a standing assisted transfer or by being lifted, as with a child or small adult.
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