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    HESI Compass exit proctored exam
    Select All That Apply

    A client with limited tolerance for activity needs to walk in the hallway with assistance. Which instruction(s) should the nurse give to the unlicensed assistive personnel (UAP) who is assisting with the client's care? Select all that apply.

    Explanation & Rationale

    Choice A reason: Measuring the client's vital signs before walking helps ensure the client's stability and readiness for activity.Choice B reason: Determining the need for a gait belt is typically the responsibility of the nurse, not the UAP.Choice C reason: Reporting dizziness or lightheadedness is important for monitoring the client's response to activity and preventing falls.Choice D reason: Instructing the client about orthostatic hypotension is not within the scope of practice for a UAP.Choice E reason: Assisting the client to void before walking can prevent discomfort and the need for an urgent restroom break during the activity.

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