10. A nurse is responsible for ambulating a client hours after surgeryWhich fact about ambulation is most important to document in the medical record?
1)When the client was ambulated
2)Where the was ambulated
3) The response of the client to the ambulation
4) The length of time took the client to ambulate
3) The response of the client to the ambulation is the most important fact to document in the medical record. This includes any changes in vital signs, pain level, dizziness, or other adverse reactions experienced by the client during the ambulation process.
The most important fact to document in the medical record regarding ambulation of a client hours after surgery is the response of the client to the ambulation (Option 3). This information is crucial as it provides insight into the client's progress, tolerance, and ability to safely mobilize after the surgery. It helps healthcare providers assess the effectiveness of the intervention and plan future ambulation activities accordingly.
