What action should a nurse take for a patient s/p craniotomy with ataxic gait?

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Consulting physical therapy for a patient who is status post-craniotomy and exhibits an ataxic gait is a critical action. After a neurosurgical intervention like a craniotomy, patients may have various neurological deficits, including coordination and balance issues, which can manifest as ataxia. Physical therapists are trained to assess these deficits and develop tailored rehabilitation programs to help improve gait, balance, and overall mobility.

By consulting physical therapy, the nurse ensures that the patient receives the appropriate interventions aimed at enhancing recovery and promoting safety during ambulation. Discharging a patient home or making an outpatient appointment without immediate intervention could potentially lead to falls or further complications, as the patient may not yet have the capacity to safely navigate their environment. Second-guessing the RN assessment does not address the patient's needs and undermines the importance of a comprehensive, collaborative care approach. Thus, involving physical therapy is the most effective and appropriate choice in this scenario.

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