A 68-year-old client with a history of hypertension and osteoarthritis lives alone. During a home visit, the nurse notes the client has several throw rugs, poor lighting in the hallways, and uses a step stool to reach high shelves. Which recommendation should the nurse prioritize to promote safety and health maintenance?

Question: A 68-year-old client with a history of hypertension and osteoarthritis lives alone. During a home visit, the nurse notes the client has several throw rugs, poor lighting in the hallways, and uses a step stool to reach high shelves. Which recommendation should the nurse prioritize to promote safety and health maintenance?

Answer options:

• Suggest installing grab bars in the bathroom. ✅ Advise removing all throw rugs and improving lighting.
• Recommend regular exercise to improve balance and strength.
• Encourage annual vision and hearing screenings.

Correct answer: Advise removing all throw rugs and improving lighting.

Explanation: Removing tripping hazards like throw rugs and improving lighting directly addresses immediate environmental risks for falls, which are a major cause of injury and disability in older adults. While other options are beneficial, fall prevention through environmental modification is a primary safety concern for an independent older adult.