The Nurse Is Performing the "Timed Get Up and Go

question 34

Multiple Choice

The nurse is performing the "Timed Get Up and Go (TUG) " assessment. Which actions will the nurse take? (Select all that apply.)

• A) Ranks a patient as high risk for falls after patients takes 18 seconds to complete
• B) Teaches patient to rise from straight back chair using arms for support
• C) Instructs the patient to walk 10 feet as quickly and safely as possible
• D) Observes for unsteadiness in patient's gait
• E) Begins counting after the instructions
• F) Allows the patient a practice trial

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Definitions:

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