A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?

Choice A Reason:

Obtaining a hospital bed and keeping all four siderails up, may not be the best choice. While a hospital bed with siderails may be appropriate for some individuals with Parkinson's disease who are at high risk of falls, keeping all four siderails up continuously can potentially restrict mobility and independence. It's important to balance safety with the client's comfort and ability to move independently.

Choice B Reason:

Removing all throw rugs from the home is correct. Throw rugs can be tripping hazards, especially for individuals with mobility issues or balance problems. Removing throw rugs can reduce the risk of trips and falls within the home.

Choice C Reason:

Installing handrails in the bathroom is correct. Installing handrails in the bathroom, especially near the toilet and shower, can provide additional support and stability for individuals with Parkinson's disease when performing daily activities. This can help prevent falls in a potentially slippery environment.

Choice D Reason:

Ensuring adequate lighting along walking spaces is correct. Good lighting is crucial for individuals with Parkinson's disease to see obstacles and hazards clearly. Adequate lighting along walking spaces helps improve visibility and reduces the risk of falls, especially during nighttime or low-light conditions.

Choice E Reason:

Keeping walking areas free of clutter is correct. Clutter and obstacles in walking areas increase the risk of tripping and falling, particularly for individuals with Parkinson's disease who may have difficulty with balance and coordination. Keeping walking areas clear of clutter helps create a safer environment.

Choice A Reason:

"Antibiotics are seldom prescribed," is not an appropriate response as it does not address the client's concern about the cost of medication and may also be inaccurate depending on the specific diagnosis and treatment plan.

Choice B Reason:

"Maybe you can borrow some money to get the medicine," may not be feasible for the client and can also be perceived as insensitive or dismissive of their financial situation.

Choice C Reason:

"Your health care provider may be able to give you free samples. “offers a compassionate and practical solution to the client's concern about the cost of medication. Many healthcare providers have access to free medication samples provided by pharmaceutical companies, which they can offer to patients who have financial difficulties.

Choice D Reason:

"Where did your money go this month?" is judgmental and inappropriate. It may make the client feel ashamed or defensive about their financial situation, which is not conducive to a therapeutic nurse-client relationship. Additionally, the client's financial decisions are not relevant to their need for medical treatment.