Question

The nurse is caring for an older adult client in an acute care setting. The client has a history of urinary urgency and limited ambulation ability. Which is the best intervention to safely meet the client's needs?

A. Initiating a bladder control program with the client
B. Placing a portable commode at the client's bedside
C. Assigning personnel to assist the client to the bathroom hourly
D. Assuring that the client is able to reach the call light for a

Answer 1

The best intervention for an older adult client with urinary urgency and limited mobility in an acute care setting is placing a portable commode at the client's bedside (option B) to provide immediate access and reduce fall risk.

Step-by-step explanation:

The nurse is caring for an older adult client who has a history of urinary urgency and limited ambulation ability. Considering the client's symptoms and physical challenges, the best intervention to safely meet the client's needs would be B. Placing a portable commode at the client's bedside. This option provides immediate access to a toilet, which is essential for a person with urinary urgency. It also addresses the limited ambulation by reducing the distance the client needs to move, thereby minimizing the risk of falls and increasing safety.



While initiating a bladder control program may be beneficial in the long-term, it would not provide an immediate solution to the client's urgent needs. Assigning personnel might not be feasible and does not offer the same level of autonomy as a bedside commode. Ensuring the client can reach the call light is important but would still rely on staff availability and response time, which may not be quick enough for a client with urinary urgency.