# The nurse is preparing to transfer an 82-year-old client from the bed to a bedside commode. The client has mild lower-extremity weakness and uses a walker. Which three actions should the nurse take to reduce the risk of falls? Select three.

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> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

The nurse is preparing to transfer an 82-year-old client from the bed to a bedside commode. The client has mild lower-extremity weakness and uses a walker. Which three actions should the nurse take to reduce the risk of falls? Select three.

1Assess for dizziness when the client sits upright at the edge of the bed.
2Have the client wear non-skid socks during the transfer.
3Place the walker within the client's reach before the transfer.
4Clear the path between the bed and the commode of clutter.
5Instruct the client to hold the nurse's arm for support.
6Perform the transfer quickly to minimize standing time.
7Stand behind the client during the transfer.
8Wait for a second staff member to assist with the transfer.

## Explanation

Assessing for dizziness when the client sits upright evaluates for orthostatic hypotension, a common fall risk. Placing the walker within reach ensures the client can use the assistive device immediately, promoting stability. Clearing the path removes environmental hazards that could cause tripping. Non-skid socks can be slippery on some surfaces and are not as safe as proper footwear; the client should wear well-fitting, non-slip shoes. Instructing the client to hold the nurse's arm may cause both to lose balance; the nurse should use a gait belt and proper body mechanics. Performing the transfer quickly increases fall risk; transfers should be slow and controlled. Standing behind the client does not provide optimal support; the nurse should stand at the client's side or slightly in front. Waiting for a second staff member is not indicated for a client with mild weakness who uses a walker; the nurse can safely assist alone with proper technique.

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