A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.

Choice A rationale
Encouraging the use of sedatives to promote better sleep is incorrect. Sedatives can increase the risk of falls in older adults due to their side effects, such as dizziness and impaired coordination. It is important to use non-pharmacological methods to promote sleep and reduce fall risk.
Choice B rationale
Removing tripping hazards from the home is a key action to reduce falls in older adults. This includes securing loose rugs, keeping walkways clear, and ensuring that cords and other objects are not in areas where they could cause a trip. By creating a safer environment, the risk of falls is significantly reduced.
Choice C rationale
Ensuring proper lighting in all areas of the home is also important for fall prevention. Adequate lighting helps older adults see potential hazards and navigate their environment safely. This includes using nightlights in hallways and bathrooms and ensuring that all rooms are well-lit.
Choice D rationale
Avoiding the use of diuretics at night can help reduce the need for nighttime bathroom trips, which can be a fall risk. However, this choice alone is not as comprehensive as removing tripping hazards, which addresses multiple potential fall risks in the home.

Choice A rationale
Ensuring the client can independently manage their care is important, but it does not directly address potential barriers that could affect adherence to the discharge plan. Identifying barriers is crucial to ensure the client can follow through with the plan safely and effectively.

Choice B rationale
Identifying potential barriers to adherence is essential for client safety during the discharge process. This includes assessing the client’s understanding of their care plan, their ability to access medications, and any social or financial obstacles that may hinder their adherence. By addressing these barriers, the nurse can help ensure the client follows the discharge plan and reduces the risk of complications or readmissions.
Choice C rationale
Avoiding discussion of dietary restrictions is incorrect because dietary restrictions are often a critical component of a client’s care plan. Discussing and ensuring the client understands these restrictions is vital for their safety and health management post-discharge.
Choice D rationale
Providing information quickly to expedite discharge is not a safe practice. It is important to ensure the client fully understands their discharge instructions, which requires taking the time to explain and confirm comprehension. Rushing through this process can lead to misunderstandings and potential harm.