When planning care for an older adult client at risk for falls due to impaired mobility, what action should the nurse perform first?

In this scenario, ensuring that a client who is at risk for falls is able to use the call light is a critical first step. The call light serves as a vital means for the client to communicate when they are in need of assistance. If the client cannot use it effectively—due to reasons such as impaired mobility, cognitive deficits, or lack of understanding—there is a significant risk that they may attempt to get up independently, which increases the chances of a fall.

Assessing the ability to use the call light allows the nurse to determine if the client requires further teaching, modifications to the call light system, or additional assistance. This action ensures that the client's needs can be met promptly, thus promoting safety and potentially preventing falls.

Once the client can effectively use the call light, the nurse can then proceed to evaluate other aspects of the patient's environment and care plan, such as the need for assistive devices, room safety by removing obstacles, or providing education on fall safety. However, establishing an effective means of communication regarding their needs should be prioritized to mitigate immediate risk.