A nurse is caring for an elderly client living at home. What interventions can the nurse implement to reduce the client’s risk of falling? (Select all that apply)

Bounding pulses are a feature of high cardiac output states such as pregnancy, thyrotoxicosis, anemia.

Coolness especially of the extremities is a sign of reduced perfusion to the extremities. Pallor is a sign of anemia and reduced perfusion due to low hemoglobin levels. Cyanosis is a feature of reduced oxygen supply which is a result of reduced perfusion.

Other signs of inadequate perfusion are hypotension, delayed capillary refill time, dry mucous membranes, poor skin turgor, restlessness, dysrhythmias, dizziness, tachycardia and diaphoresis.

The nurse and client working on strategies to reduce weight are in the working phase of the therapeutic relationship.

In the therapeutic relationship, there are three main phases: the orientation phase, the working phase, and the termination phase. During the orientation phase, the nurse and client establish rapport, develop trust, and identify goals for the relationship. In the working phase, the nurse and client work together to achieve the goals identified in the orientation phase. This phase involves active problem-solving, planning, and implementation of strategies to address the client's needs. In the termination phase, the nurse and client evaluate progress and determine next steps, and the relationship is brought to a close.