A school-age child was instructed on transfer techniques after having spinal surgery. For which outcome should the nurse assess when making a home visit to this patient?
A) Patient transfers from bed to a chair unassisted.
B) Patient stands up and walks to a chair with parental assistance.
C) Patient transfers from the bed to a chair with one person assisting.
D) Patient unable to move from the bed to a chair without assistance.
A
Feedback:
An outcome is the focus or goal of the instruction. For the child being instructed on transfer techniques after spinal surgery, the nurse should assess for the child's ability to perform the transfer as instructed, or the patient is able to transfer from the bed to a chair unassisted. The patient standing up and walking is evidence that instruction was not effective. The need to have one or more people assisting with the transfer indicates that instruction was not effective and the outcome was not met.
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