The nurse admits the client who prefers to ambulate with a wooden cane. Which action should the nurse implement?
1. Explain that a wooden cane is dangerous for the client.
2. Assess the client's stability when ambulating with the cane.
3. Make the appropriate adjustments to the height of the cane.
4. State that the client must use a walker for adequate stability.
2
2. The nurse is responsible for basing nursing interventions on a nursing assessment, so the nurse assesses the client's ability to use a wooden cane for ambulation focusing on the client's stability, strength, and vision.
1. The nurse does not know whether the cane is suitable for the client; in addition, the nurse can frighten the client by stating the cane is dangerous.
3. The nurse can alter a wooden cane by removing a portion of the end and replacing the rubber tip, but the nurse does not have the means to accomplish this. Besides, the nurse does not want the responsibility of permanently altering the cane, especially without an assessment. If the cane is unsuitable for the client, the nurse collaborates with other health care professionals to fit the client with a suitable assistive device.
4. Walkers are not required for every client who needs an assistive device for ambu-lation; often a cane provides suitable stability for safe ambulation.
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