A patient is admitted to a rehabilitation facility following stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

A) Obtain a bedside commode for the client's use: While a bedside commode may be helpful for reducing the need for the client to walk to the bathroom, it may not fully address the client's concern about falling. The most immediate solution to improve safety during the night would be ensuring that the environment is adequately lit and easy to navigate. The bedside commode could be considered, but a nightlight would be the first step.

B) Leave a nightlight on in the client's room: This is the best action to take in this situation. A nightlight will improve visibility and help the client navigate safely to the bathroom at night. Falls are more common in low-light environments, and a nightlight can provide the needed illumination to reduce the risk of tripping or losing balance during the night.

C) Limit the client's fluid intake in the evening: While limiting fluid intake may reduce the frequency of nighttime trips to the bathroom, it is not an ideal or holistic solution. Reducing fluid intake can also lead to dehydration, which can cause other health issues. The focus should be on creating a safe environment for the client to move about, rather than restricting essential fluids.

D) Put the side rails up and tell the client to call the nurse before voiding: Raising the side rails can increase the risk of entrapment and restrict the client's ability to move freely if they need to get out of bed. Telling the client to call the nurse may also delay their ability to respond to their needs promptly, especially in the middle of the night. Instead, ensuring a safer environment and encouraging independence, with appropriate safety measures like a nightlight, is more effective.

A) Return any fresh linen not used for a client to the linen supply: Fresh linen that has been placed on a client’s bed but not used should not be returned to the linen supply. This is to prevent cross-contamination. Once linen is brought into a patient’s room, it should be considered contaminated, even if it was not used, and should be discarded properly.

B) Tie linen bags securely at the top: This is the correct action. When disposing of soiled linens, tying the linen bag securely helps to prevent the spread of pathogens and minimizes the risk of contamination. It also keeps the environment clean and safe for both staff and patients.

C) Fill linen bags with as much soiled linen as possible: Linen bags should not be overfilled. Overfilling bags can make them difficult to handle and can increase the risk of exposure to contaminants. Bags should be filled to a safe and manageable level to ensure proper handling and safety when transporting soiled linens.

D) Use double bagging to remove soiled linen from the client's room: Double bagging is typically not necessary unless there is a significant risk of contamination, such as with highly infectious material. Standard practice is to use a single, securely tied bag. Double bagging can create unnecessary waste and complicate disposal procedures unless specifically indicated by the situation or facility protocols.