Question

The client had a colon resection two days ago. Which statement should the nurse use to give an assignment to an unlicensed assistive person (UAP) to help the client ambulate?

1. "Have the client sit on the side of the bed for three to five minutes before standing."
2. "Help the client to sit in a chair in the room as often as desired."
3. "When you help the client to walk, ask if the pain increases or decreases."
4. "If the client is dizzy upon standing, ask the client to look up and hold onto you."

Answer 1

The nurse should instruct the UAP to have the client sit on the side of the bed before standing, monitor for dizziness, and be attentive to the client's pain levels during ambulation after a colon resection.

Step-by-step explanation:

The appropriate statement a nurse should use to give an assignment to an unlicensed assistive person (UAP) to help a client who had a colon resection two days ago ambulate would likely focus on ensuring the client's safety and comfort while mobilizing. The statement should instruct the UAP on how to assess the client's pain, encourage gradual movement, and respond to any signs of discomfort or dizziness. An example of a suitable direction could be, "Have the client sit on the side of the bed for three to five minutes before standing, to allow them to adjust and prevent dizziness. Support the client while they stand, and monitor their comfort levels as they ambulate. If the client reports increased pain or feels dizzy, assist them to sit down immediately and inform the nurse."