A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

A. While holding the client’s arm might seem like a supportive action, it is not the most effective method to prevent a fall. If a client begins to fall, holding their arm could result in injury to either the client or the nurse, as it does not provide adequate control to prevent the fall. Instead, more proactive measures should be taken to safely manage the situation.
B. Assuming a narrow base of support (standing with feet close together) is actually less stable and can increase the risk of falling. To effectively prevent or manage a fall, the nurse should assume a wide base of support (feet apart) to enhance stability and balance.
C. If a fall is imminent and cannot be prevented, the best approach is to safely lower the client to the floor to minimize the risk of injury. The nurse should support the client’s body as they go down, guiding them gently to the floor to avoid a sudden impact. This technique helps reduce the potential for serious injuries such as fractures or head trauma.
D. Leaning the client toward the wall might provide temporary support but does not fully address the risk of a fall. It may also place the client in an awkward or unsafe position. The best approach is to take more direct action to prevent the fall or safely lower the client if the fall is unavoidable.

A. The correct technique for using a cane involves moving the weak leg first, followed by the strong leg. The cane should be moved forward with the weak leg to provide support and balance, followed by the stronger leg to propel the client forward. This helps to ensure stability and reduces the risk of falling.
B. The cane should be held on the strong side of the body. The rationale is that the cane provides additional support to the weak side, which helps to improve balance and stability while walking. Holding the cane on the strong side allows the cane to bear more weight and support the weaker leg effectively.
C. The height of the cane grip should be adjusted so that it is level with the client’s wrist when the arm is at their side. This positioning helps ensure proper arm alignment and comfort, allowing for effective use of the cane during ambulation.
D. The proper technique involves moving the cane forward first, followed by the weak leg, and then the strong leg. Moving the cane forward first provides immediate support and stability for the weak leg, helping to maintain balance and prevent falls.