Question

A nurse is making a home visit to a client who has AD. The client's partner states that the client is often disoriented to time and place, is unsteady, and has a history of wandering. Which of the following safety measures should the nurse review with the partner? (Select all that apply.)

A. Remove floor rugs.
B. Have door locks that can easily be opened.
C. Provide increased lighting in stairwells.
D. Install handrails in the bathroom.
E. Place the mattress on the floor.

Answer 1

The nurse should review removing floor rugs, having easily openable door locks, increased lighting in stairwells, installing handrails in the bathroom, and placing the mattress on the floor as safety measures with the client's partner.

Step-by-step explanation:

The nurse should review the following safety measures with the client's partner:

1. Remove floor rugs: Rugs can be a tripping hazard for someone who is unsteady and prone to wandering.
2. Have door locks that can easily be opened: This will ensure that the client can easily exit the home in case of wandering.
3. Provide increased lighting in stairwells: Good lighting can help prevent falls and accidents on stairs.
4. Install handrails in the bathroom: Handrails can provide support and help the client maintain balance while using the bathroom.
5. Place the mattress on the floor: This will reduce the risk of falls from a high bed.