What should a nurse do if an older client frequently stumbles while using a walker?

The correct answer emphasizes the importance of a comprehensive assessment of the older client's mobility and the appropriateness of the assistive device being used. Frequent stumbling while using a walker may indicate that the device is not being utilized correctly or that it may not be the best option for the client's specific needs. Assessing the client’s mobility ensures that any physical limitations, balance issues, or changes in strength are identified.

Additionally, providing the appropriate assistive device is critical. Depending on the assessment findings, the client may benefit from a different type of walker, modifications to their current walker, or even other assistive devices like canes or mobility aids specifically designed for their condition. This approach also incorporates the client’s safety, reduces the risk of falls, and promotes independence, which is essential in nursing care for older adults.

Choosing an alternative device, restricting mobility more, or immediately notifying a physician may not directly address the underlying issue contributing to the client's stumbling. A thorough assessment and intervention tailored to the client's abilities and needs are foundational in ensuring effective nursing care.