A nurse is reviewing documentation on a group of clients as part of a quality improvement initiative. Which of the following actions should the nurse document as decreasing the risk for skin breakdown?

A. A dietitian is typically involved in addressing nutritional needs and dietary concerns. While nutrition is important for overall health, it may not directly address the client's difficulty with fine motor skills.

B. A physical therapist is more focused on addressing gross motor skills, mobility, and physical function. While physical therapy may be beneficial for individuals with rheumatoid arthritis, it may not specifically address fine motor skill difficulties.

C. A pharmacist is responsible for managing medications and providing information about medications. While medication management is crucial for clients with rheumatoid arthritis, a pharmacist is not the primary referral for addressing fine motor skills.

D. Occupational therapist is the most appropriate referral for a client with difficulty in fine motor skills. Occupational therapists specialize in helping individuals develop or regain the skills needed for daily living activities, including fine motor skills. They can provide strategies, exercises, and adaptive techniques to improve the client's ability to perform activities such as dressing, grooming, and other tasks requiring fine motor coordination.

Ensure the client wears nonskid slippers when walking around the house.

Explanation: Nonskid slippers provide better traction and stability, reducing the risk of slipping.

B.Attach full-length side rails to the client's bed.

Explanation: Side rails can pose a risk of entrapment and may not prevent falls. The use of side rails is associated with safety concerns, and their use should be carefully evaluated.

C.Install a raised toilet seat in the client's bathroom.

Explanation: A raised toilet seat makes it easier for the client to sit down and stand up, reducing the risk of falls in the bathroom.

D.Encourage an annual review of the medications the client is taking.

Explanation: Medication reviews help identify drugs that may increase the risk of falls or interactions that could affect balance or cognitive function.

E.Place throw rugs on uncarpeted floors in the client's home.

Explanation: Throw rugs can be tripping hazards, especially for older adults with mobility issues. It's safer to have clear, unobstructed pathways in the home.