A nurse is conducting a home visit for a 72-year-old client who was recently discharged after hospitalization for a fall-related hip fracture. The client lives alone and mentions that they have difficulty reaching items placed on high shelves and getting to the bathroom at night. Which intervention should be prioritized to promote the client’s safety at home?
Refer the client to outpatient physical therapy for strengthening exercises and gait training.
Encourage the client to use step stools to reach high shelves and provide education on safe use.
Review the client’s medication regimen to determine if side effects may contribute to nighttime accidents.
Install assistive devices, such as grab bars in the bathroom and a bed rail for nighttime safety.
The correct answer is installing assistive devices, such as grab bars, which directly addresses the client's immediate safety risks. These devices reduce the likelihood of falls by providing the client with support when moving around their home, especially in high-risk areas like the bathroom. Educating on proper reach or adjusting the medication without addressing physical barriers doesn't address the immediate fall risk, while consulting physical therapy is more focused on mobility improvement rather than environmental adaptations.
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