The nurse is observing a patient's posture while sitting, standing, and assessing gait. What is the rationale for the nurse's assessment?
a. To determine type of assistance with anthropometric measurements
b. To determine type of assistance with joint mobility
c. To determine type of assistance with range of motion (ROM)
d. To determine type of assistance with ambulation
D
Observing the patient's posture while sitting and standing and assessing gait helps to determine the type of assistance the patient requires for ambulation or transfer. Assessment of ROM is important as a baseline measurement to compare and evaluate whether loss in joint mobility has occurred. Anthropometric measurements are for nutrition, not for mobility. Anthropometric measurements include height, weight, mid upper-arm circumference, and triceps skinfold measurements.
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