HESI RN 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
A. UAPs are trained to take and record vital signs. This ensures the client is stable enough to tolerate ambulation. B. Reporting dizziness or lightheadedness is essential for ensuring the client's safety during ambulation. C. Teaching is a nursing responsibility, not delegated to UAPs. D. Offering assistance to void before ambulating helps reduce the risk of falls and ensures comfort during the walk. E. UAPs can apply a gait belt if instructed, but determining whether it is needed requires nursing judgment.
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