Case #3: A.W., a 52-year-old woman disabled from severe emphysema,

A nurse is caring for a client in the outpatient primary care provider’s office. Nurse’s Notes Two Weeks Ago A 76-year-old male client is discharged from the hospital after experiencing a left-sided ischemia stroke. Client was discharged with right lower extremity weakness and sent home with a standard cane for walking assistance and support. 1 week ago 1000 Client presents to the outpatient primary care provider’s office for a hospital follow-up appointment. Client reports they are feeling well. Reviewed with client how to use the cane, navigate the stairs, and use a chair with the cane. Physical Examination: General: no acute distress Respiratory: breath sounds clear bilaterally Cardiovascular: S1, S2, no murmur Musculoskeletal: equal upper extremity grip strength, right lower extremity weakness noted Today, 1300 Client reports they are feeling better but states “I have had two falls since you were here last week.” Assessed client’s cane use as they move throughout the home. Noted the following: Client holds the cane in their left hand, steps forward first with their left leg. When walking up the stairs, client steps first with their left leg. When walking down the stairs, client steps first with the left leg. Client leans on the cane for support when sitting down in a chair. Client is wearing nonskid slippers. Which three (3) client actions could be contributing to the client’s recent falls? how the client sits in the chair client’s new slippers leg used to step first hand used to hold the cane how the client descends the stairs how the client ascends the stairs

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