The nurse transfers an assigned client from the wheelchair to the hospital bed. Which items will the nurse include when documenting the client's response to the transfer?
Select all that apply.
1. Number of assistants needed
2. Type of equipment used
3. Pulse rate before and after the procedure
4. Blood pressure before and after the procedure
5. Safety precautions taken
Correct Answer: 3,4
Although all of these items are required when documenting a client transfer, the only items that document the client's response to the transfer are the pulse rate and blood pressure. Comparing the vital signs before and after the transfer allows the nurse to assess how the client handled the transfer.
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