2024 PN NCLEX Questions Nursing Practice Question
The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
Correct Answer: A
Rationale: Option A is essential for fall prevention, as removing scatter rugs and minimizing clutter reduces tripping hazards in the home environment, promoting safety for the client.
Option B is incorrect; while mobility should be monitored, complete immobility can lead to further complications, such as muscle weakness and decreased independence.
Option C is misleading; even if the client can walk independently, installing safety features like a raised toilet and grab bars can provide additional support and prevent falls, especially in case of fatigue or instability.
Option D is not advisable; wearing loose clothing and socks can increase the risk of slipping. Proper footwear is recommended for stability.