The nurse is preparing to ambulatea client in the hall. Which action by the nurse is a strategy to reduce the client's risk of falls?
1. Encouraging client to wear nonskid footwear
2. Cautioning the client about cords or clutter on the floor
3. Encouraging the client to continue walking after complaints of feeling tired
4. Acting as the client's means of support instead of using a walker to provide additional support
1
Rationale 1: The client should be encouraged to wear nonskid footwear to prevent slipping on the floor.
Rationale 2: Instead of cautioning clients about cords and clutter, they should be removed to reduce risk.
Rationale 3: When a client states fatigue and can't walk farther, encouraging the client to continue could result in a fall.
Rationale 4: It is safer to allow clients to use familiar ambulation assistants when needed instead of the nurse acting to support the client.
Global Rationale: The client should be encouraged to wear nonskid footwear to prevent slipping on the floor. Instead of cautioning clients about cords and clutter, they should be removed to reduce risk. When a client states fatigue and can't walk farther, encouraging the client to continue could result in a fall. It is safer to allow clients to use familiar ambulation assistants when needed instead of the nurse acting to support the client.
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