Question

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a nurse is preparing to assist with ambulation of an older adult client who was on bed rest for 3 days. which of the following actions should the nurse take to decrease the risk of a fall?
use a gait belt during ambulation.
ensure the client is wearing socks before ambulating.
instruct the client to sit on the edge of the bed for 15 seconds before ambulating.
walk 2 feet behind the client during ambulation.

Explanation:

Using a gait belt provides support and stability during ambulation, reducing the risk of falls. Wearing only socks can increase the risk of slipping. Sitting on the edge of the bed for only 15 seconds may not be enough to adjust to an upright position after 3 - day bed - rest. Walking 2 feet behind does not offer immediate support if the client starts to fall.

Answer:

A. Use a gait belt during ambulation.