You are the rehabilitation nurse caring for a 25-year-old patient who suffered extensive injuries in a motorcycle accident. During each patient contact, what action should you perform most frequently?
A) Complete a physical assessment.
B) Evaluate the patient's positioning.
C) Plan nursing interventions.
D) Assist the patient to ambulate.
Ans: B
Feedback:
During each patient contact, the nurse evaluates the patient's position and assists the patient to achieve and maintain proper positioning and alignment. The nurse does not complete a physical assessment during each patient contact. Similarly, the nurse does not plan nursing interventions or assist the patient to ambulate each time the nurse has contact with the patient.
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