When admitting an older adult client at risk for falls, what is the nurse's first action?

The correct answer to the question focuses on the importance of thorough assessment in patient care, particularly for older adult clients who are at risk for falls. When a nurse admits a patient, the priority is to perform a comprehensive assessment to gather vital information about the patient's physical condition, history, and specific fall risk factors such as muscle strength, balance, medication effects, and cognitive status.

Performing a physical assessment allows the nurse to identify the immediate needs of the client and tailor interventions accordingly. Recognizing the patient's individual risk factors not only aids in developing an effective care plan but also ensures that safety measures can be implemented promptly. The information obtained during this assessment contributes to better documentation and communication with the healthcare team, ultimately enhancing patient safety and care outcomes.

While documenting the risk is important for continuity of care, it comes into play after the essential assessment is performed. Taking steps such as placing the client in a low bed or providing mobility aids like a walker are also important considerations, but they should follow a thorough assessment to ensure they are appropriate for the specific client's needs.