When showering a patient, which of the following actions should the nurse take to ensure patient safety?

A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.

A. Urinary retention can lead to an increased risk of urinary tract infections. When urine remains in the bladder for prolonged periods, it can become a breeding ground for bacteria, increasing the likelihood of infection.
B. While bladder outlet obstruction can lead to urinary retention, this is more of a potential cause rather than a complication to monitor. In an immobile client, it may not be the primary concern unless there are specific signs or known conditions that suggest obstruction.
C. Proteinuria (presence of protein in the urine) is typically associated with kidney damage or disease, rather than urinary retention itself. While kidney function should always be monitored in any patient, protein in the urine is not a direct consequence of urinary retention or immobility.
D. Neurogenic bladder refers to bladder dysfunction due to nerve problems, affecting the ability to sense fullness or control urination. While this can be a concern for clients with certain neurological conditions, it is not an immediate monitoring concern for a client experiencing urinary retention solely due to immobility.