The client is legally blind in both eyes. Which of the following statements is most appropriate for the nurse to make to the client regarding providing the client with assistance?
a. "I will walk in front of you, and you can hold onto my belt."
b. "I know that you must need me to be your sighted guide to get around in this fa-cility."
c. "I will warn you of upcoming curbs or stairs."
d. "I will get you a wheelchair so that I can move you around safely."
C
To assist the client who is legally blind, the nurse should warn the client when approaching doorways or narrow spaces, including upcoming curbs or stairs.
To assist the client who is legally blind, the nurse should walk one-half step ahead and slightly to the side of the visually impaired person. The client can place his or her hand on the nurse's fore-arm.
"I know that you must need me to be your sighted guide to get around in this facility" is not the most appropriate response. The client may need orientation to the environment and extra time, but should not be made to feel dependent on the nurse. Often, clients who have sensory impair-ments can help themselves, and it is essential that they do so for self-esteem.
Placing the client in a wheelchair is not the best response. The client who is able should be en-couraged to ambulate.
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