When creating a plan of care for a patient who is experiencing alterations in mobility, the nurse
a. Cannot delegate interventions to nursing assistive personnel.
b. Is solely responsible for modifying ADLs.
c. Consults other health care team members to help plan therapy.
d. Consults wound care specialists only when wounds are apparent.
C
The nurse should collaborate with other health care team members such as physical or occupational therapists when considering mobility needs. Nurses often delegate some interventions to nursing assistive personnel. Nursing assistive personnel may turn and position patients, apply elastic stockings, help patient use the incentive spirometer, etc. Occupational therapists are a resource for planning ADLs that patients need to modify or relearn. It is especially important in priority setting to make sure not to overlook potential complications. Many times, actual problems such as pressure ulcers are addressed only after they develop. They should be addressed before they develop.
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