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 emphasizes the importance of removing scatter rugs and minimizing clutter, which are critical steps in fall prevention. These items can pose tripping hazards, especially for an elderly client recovering from surgery.
Option B is misleading; while encouraging mobility is essential, the client should follow specific movement restrictions as advised by her physician to ensure safety during recovery.
Option C, while promoting safety features like grab bars, does not directly address immediate environmental hazards that can lead to falls.
Option D unnecessarily restricts the client’s comfort; wearing socks or a robe can be safe if the flooring is secure and free of hazards.