The RN working on an orthopedic unit is caring for a postoperative client with a hip replacement who is not transferring well from bed to chair. The client is behind on the mobility training program. What action is the nurse's priority?
1. Instruct physical therapy to increase treatments to four times daily.
2. Contact the family to discuss preoperative mobility problems.
3. Inform the case manager of variance in the critical pathway.
4. Discuss the problem with the client's surgeon.
3
Rationale 1: Ordering an increase in physical therapy is not within the scope of nursing and would not be the priority action.
Rationale 2: The family may have important information about the client's mobility, but this is not the priority action.
Rationale 3: The case manager tracks all variances, reports to the collaborative team, and may revise the critical pathway.
Rationale 4: Discussing the problem with the surgeon is not the priority action.
Global Rationale:
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