The nurse is caring for a patient admitted through the emergency department with new-onset dyspnea. She is 5 days post hysterectomy and has been on bedrest while at home. While in the treatment room, the patient states she needs to use the bathroom. The nurse wants to delegate this task to the assistive personnel while maintaining the patient’s safety.

1.

What CUES (Assessment) might the nurse identify and consider in this situation?

2.

What HYPOTHESIS (Diagnosis) will the nurse consider based on the available information?

3.

What ACTION (Plan and Implement) or instruction can the nurse give the assistive personnel to accomplish the task while meeting the patient’s safety needs?

4.

How will the nurse evaluate the OUTCOME (Evaluation) of the delegated task?