NCLEX · Reduction of Risk Potential

A client at risk for falls is being discharged home. Which home safety instruction is most important for fall prevention?

Correct answer

Remove throw rugs, ensure adequate lighting (especially night lights on the path to the bathroom), install grab bars in the bathroom, and keep walkways clear of clutter and cords

  1. A Keep all rooms brightly decorated
  2. B Remove throw rugs, ensure adequate lighting (especially night lights on the path to the bathroom), install grab bars in the bathroom, and keep walkways clear of clutter and cords
  3. C Keep the home temperature warm
  4. D Use a softer mattress

Why this is the answer

HOME FALL PREVENTION: ENVIRONMENTAL MODIFICATIONS: Remove throw rugs (major trip hazard) or secure with non-slip backing; Adequate lighting throughout, especially night lights from bed to bathroom (most home falls happen at night going to the bathroom); Install grab bars in bathroom (near toilet and in shower/tub); non-slip mats in tub/shower; Keep walkways clear of clutter, cords, and furniture; Handrails on both sides of stairs; Keep frequently used items within easy reach; PERSONAL MEASURES: Non-slip footwear (not socks alone, not loose slippers); rise slowly (orthostatic hypotension); use assistive devices as prescribed (cane, walker); medication review (sedatives, antihypertensives, diuretics increase fall risk); FALL STATISTICS: Falls are the leading cause of injury death in adults 65+; hip fractures from falls carry high morbidity and mortality; LPN role: provide home safety teaching, identify fall risk factors, recommend modifications and PT/OT referral.
Source: NCLEX-PN Physiological — Reduction of Risk, Home Fall Prevention