The nursing assessment of a client with osteomyelitis of the left great toe reveals pain with partial weight-bearing, unsteady gait, and general weakness. Based on these data, the nurse should institute which of the following?
1. Bed rest.
2. Airborne precautions.
3. Referral to physical therapy.
4. Falls precautions.
The client is at risk for falling, and the nurse should initiate falls precaution. The client does not require airborne precautions. There is no indication the client needs a referral to physical therapy. The client should be encouraged to maintain mobility.
CN: Reduction of risk potential; CL: Analyze
小编寄语：A river can reach its destination because it knows how to avoid obstacles.河流之所以能够到达目的地，是因为它懂得怎样避开障碍。