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    Ati nur 125 med surg proctored exam
    Select All That Apply

    A nurse is performing a mobility assessment on a client. Which of the following data should the nurse collect as part of this assessment?

    Explanation & Rationale

    A. The client’s ability to sit: Assessing whether the client can sit independently provides important information about balance, posture, and muscle strength, all of which are central to mobility. This helps determine the level of support or equipment the client may need. B. The condition of the client’s skin: Skin condition is important for overall assessment but is more closely related to skin integrity and pressure injury risk. While relevant to care, it does not directly evaluate mobility. C. The client’s health literacy level: Health literacy affects the client’s ability to understand instructions and education, but it does not provide data on physical movement or mobility status. D. The client’s need for assistance with ADLs: Assessing the client’s ability to perform activities of daily living, such as bathing, dressing, and walking, reflects functional mobility. This data is essential in planning interventions and support. E. The client’s daily calcium intake: Calcium intake is related to long-term bone health but does not directly measure the client’s current mobility or physical ability. It would be assessed in nutritional evaluation rather than mobility assessment.

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