Question

The home health nurse observes an older client with unilateral weakness place the walker in front of the chair for support while rising to a standing position. Which action should the nurse take?

a. Hold the walker securely to prevent slipping when the client rises.
b. Apply a gait belt to assist the client to rise out of the chair.
c. Instruct the client to use the arms of the chair for support.
d. Encourage client to use the weaker leg with the walker when rising.

Answer 1

The nurse should hold the walker securely to prevent slipping when the client rises. This ensures the client's safety and promotes stability, which is crucial for maintaining independence and preventing further injury.

Step-by-step explanation:

The subject of this question is related to the appropriate nursing intervention for an older client with unilateral weakness who is using a walker to rise to a standing position. When observing a client using a walker for support, the nurse should ensure safety and promote independence. Therefore, the correct action for the nurse to take is a. Hold the walker securely to prevent slipping when the client rises. This intervention enhances the client's safety by preventing the walker from slipping, which could lead to falls and further injury. The nurse should also ensure that the client's feet are spread apart to give a larger base of support, as this will increase stability. Instructing the client on how to use their body mechanics effectively when rising with the walker can also be beneficial.