The home health nurse is visiting an elderly client who has problems with balance. In assessing the home for safety, the nurse would suggest which of the following?

Question

1. Having the doorbell ring in the back of the house so the client can hear it
2. Placing everything the client needs near the chair so he does not have to walk very far
3. Installing safety rails in the bathroom
4. Asking the physician to write an order for a wheelchair

Answer 1

3
Rationale 1: Clients with balance problems are at risk for falls in the bathroom. Rails in the tub and shower, and near the toilet, can help the client to maintain stability. Placing the doorbell in the back of the house will not help maintain safety for the client. Ensuring that everything the client needs is within reach decreases the client's activity level, which could cause the balance problem to worsen because the client will become weaker due to inactivity. Asking the doctor for a wheelchair will further immobilize the client, and could contribute to low self esteem.