Before clearing a patient for activity when there is unilateral weakness, what assessment is essential?

• A. Assess cognitive function, motor strength, fall risk; obtain physician clearance if needed.
• B. Complete only a cardiovascular risk assessment.
• C. Clear activity if the patient reports no pain.
• D. Skip assessment if the patient was independent previously.

Answer: (A)

Ensuring safety for activity with unilateral weakness hinges on a current, comprehensive safety assessment. You need to evaluate motor function on both sides to see if the patient has the strength and coordination needed for movement and to detect any risk of falls or injury. Assess cognitive status as well, because the ability to understand and follow instructions directly affects safe mobilization and adherence to precautions. Evaluating fall risk is essential too—look at balance, gait, environment, and whether assistive devices or supervision are needed. If there’s any doubt about stability or medical readiness, obtaining physician clearance before proceeding helps prevent complications.

Relying only on cardiovascular risk misses the immediate safety concerns; clearing just because there’s no pain ignores functional capability; and assuming independence based on prior status ignores current deficits that could impact safety during activity.