The nurse delegates helping the elderly client ambulate with a walker to the nursing assistant. Which instructions should the nurse provide to the nursing assistant?
1. Show the client how to slide the walker a few steps ahead.
2. Check the client for supportive shoes while using the walker.
3. Be sure the client places all weight on the front of the walker.
4. Ensure that the client is wearing soft slipper socks while walking.
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2 and 4. The nurse instructs the nursing assistant to check the client for supportive shoes to prevent injury to the client's foot and to provide sure footing while using the walker. Soft slipper socks cannot provide the same protection as shoes.
1. The nurse instructs the assistant to help the client lift the walker and set it into place to advance the walker ahead of the client during ambulation. The nurse states that sliding the walker is not safe because sliding does not provide a stable founda-tion for the client's walker and the client is more likely to catch the tip, increasing the client's risk of falling.
3. The client is more likely to tip over the front of the walker if all weight is placed in that area, so the nurse instructs the assistant to reinforce placement of weight in the center of the walker to the client.
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