A client who is ambulatory is able to get out of bed for morning care.

A client who is ambulatory is able to get out of bed for morning care. What should the nurse assess before assisting the client out of the bed to change the linen?

1. Pulse
2. Respirations
3. Urine output
4. Blood pressure
5. Mobility status

ANSWER

Correct Answer: 1, 2, 4, 5

Rationale 1: When changing the linen of an unoccupied bed the nurse should assess the client’s pulse.

Rationale 2: When changing the linen of an unoccupied bed the nurse should assess the client’s respirations.

Rationale 3: Urine output does not need to be assessed prior to assisting a client out of the bed to change the linen.

Rationale 4: When changing the linen of an unoccupied bed the nurse should assess the client’s blood pressure.

Rationale 5: When changing the linen of an unoccupied bed the nurse should assess the client’s mobility status.