A client with multiple sclerosis is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform self–morning care
Which of the following would the nurse conclude regarding this client's care? 1. The client uses assistive devices to optimize autonomy.
2. The client is reliant upon assistive devices for independent.
3. The client is dependent upon assistive devices.
4. The client needs instruction to conduct morning care before applying splints to lower extremities.
1. The client uses assistive devices to optimize autonomy.
Rationale:
The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform self–morning care. This is evidence that the client uses assistive devices to optimize autonomy. The statement "client is reliant upon assistive devices for independence" indicates that the client is not autonomous. The statement "client is dependent upon assistive devices" indicates the client is also not autonomous. The statement "client needs instruction to conduct morning care before applying splints to lower extremities" does not take into consideration the client's preference, which might be to apply the splints before doing self-care.
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