A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?

Choice A reason: Using handrails in the bathroom is an effective fall prevention strategy. Handrails provide support and stability, especially in wet and slippery conditions, reducing the risk of falls. Bathrooms are common places for falls due to the presence of water and slippery surfaces. Installing handrails can significantly enhance safety for elderly residents.

Choice B reason: Getting a longer cord for the telephone is not a recommended fall prevention strategy. Long cords can create tripping hazards, especially if they are not properly managed. It is better to use cordless phones or ensure that cords are kept short and out of walkways to prevent falls.

Choice C reason: Placing a throw rug over electrical cords is not advisable. Throw rugs can slip and slide, creating a significant tripping hazard. Additionally, covering electrical cords with rugs can cause overheating and pose a fire risk. It is safer to secure cords along walls and use non-slip mats if necessary.

Choice D reason: Using chairs without armrests is not recommended for fall prevention. Armrests provide support when sitting down and standing up, helping to maintain balance and stability. Chairs with armrests can reduce the risk of falls by providing additional support for elderly residents.

Choice A reason:

Walking in front of the client to guide her in moving the walker is not recommended. The nurse should walk beside or slightly behind the client to provide support and ensure safety. Walking in front can obstruct the nurse’s view of the client’s movements and make it difficult to assist if the client loses balance.

Choice B reason:

Ensuring that the upper bar of the walker is level with the client’s waist is incorrect. The correct height for the walker is when the client’s elbows are slightly bent (about 15-30 degrees) when holding the handgrips. This allows for better control and reduces the risk of falls.

Choice C reason:

Having the client move one leg forward with the walker is not the correct technique. The client should first lift the walker and place it a short distance ahead, then step forward with the weaker leg first, followed by the stronger leg. This method provides better stability and support.

Choice D reason:

Checking that the client lifts the walker and then places it down in front of her is the correct action. This ensures that the walker is used properly, providing maximum support and reducing the risk of tripping or falling. The client should lift the walker, move it forward, and then step into the walker area.