A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

A) Review the home medication schedule with the client and family:
While reviewing the home medication schedule is an important step in ensuring that the client understands their medications, it is not the immediate priority when considering the client's safety at home. The primary concern should be addressing the client’s ability to safely navigate their home environment.

B) Provide the client with information about medical alert devices:
Providing information about medical alert devices is valuable for enhancing the client’s safety. However, it should come after addressing the more immediate concern of assessing the home environment for safety issues. The client’s current ability to walk and potential home hazards need to be evaluated first.

C) Arrange for a bedside commode to be delivered to the home:
While a bedside commode can be helpful for the client’s convenience and safety, it is not the most critical action to address immediately. Ensuring that the overall home environment is safe and suitable for the client’s needs should take precedence.

D) Meet with the case manager to plan a home safety evaluation:
Meeting with the case manager to arrange a home safety evaluation is the most crucial initial step. A home safety evaluation will identify potential hazards and ensure that the living environment is adapted to the client’s needs, which is essential for preventing falls and other accidents. This assessment will help in planning for appropriate modifications and support services to ensure the client’s safety at home.

A) 3/1,000:
To calculate the rate per 1,000, you divide the number of new positive tests by the total number of students tested, then multiply by 1,000. For 15 new positive tests among 500 students, the rate is (15/500) * 1,000 = 30/1,000. Thus, 3/1,000 is incorrect.

B) 30/1,000:
The correct calculation for the rate per 1,000 is determined by dividing the number of new positive tests (15) by the total number of students tested (500) and then multiplying by 1,000. Therefore, (15/500) * 1,000 = 30/1,000. This rate accurately reflects the proportion of students with positive tests per 1,000.

C) 1.7/1,000:
The rate of 1.7/1,000 would result from incorrect calculations. Using the correct formula, the rate per 1,000 should be 30/1,000.

D) 15/1,000:
The rate of 15/1,000 suggests that there are 15 positive tests per 1,000 students, which does not reflect the actual number of new positive tests (15) among 500 students. The correct rate calculation yields 30/1,000, not 15/1,000.