The nurse has delegated the task of ambulating a client who is experie

The nurse has delegated the task of ambulating a client who is experiencing activity intolerance.

Which of the following statements made by the nurse best reflects an understanding of the nurse’s role to properly instruct the ancillary personnel regarding this task?
1. “Stop the walking if the client complains of pain or weakness.”
2. “Please be sure she has proper footwear on before starting out.”
3. “Be sure to document the time spent and the distance she walked.”
4. “Take her blood pressure and pulse both before and after walking.”

ANSWER

ANS: 1
The assigned staff must be instructed to notify the nurse of client reports of pain or any other condition that might result in physical harm. While the other options are not incorrect, they do not have the priority that the answer has.