You have started work on a new ward. One of the patient’s allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:

A Check with the other nursing staff as to reasons behind the nursing care plan then update the plan based on your assessment
B Follow the nursing care plan strictly as this would have been developed after a detailed and collaborative assessment
C Seek physician’s orders so that you have permission to move the patient
D Try and move the patient without consulting with anyone to see how she manages

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