How should a nurse promote safety for a client with impairment of cranial nerve II?

How should a nurse promote safety for a client with impairment of cranial nerve II?

• A. Provide an obstacle-free path for ambulation
• B. Maintain bright lighting in the room
• C. Encourage the use of visual aids
• D. Limit mobility to only within the bed

Answer: (A)

Promoting safety for a client with impairment of cranial nerve II, which is primarily responsible for vision, entails ensuring that the client can navigate their environment safely despite their visual limitations. Providing an obstacle-free path for ambulation is crucial because it directly addresses the challenges the client may face due to impaired vision. By removing potential hazards and ensuring a clear pathway, the nurse helps minimize the risk of falls or injuries, allowing the client to move around more confidently and independently. While maintaining bright lighting in the room can assist in enhancing visual clarity, it does not directly mitigate the risks posed by physical obstacles. Encouraging the use of visual aids may also be beneficial, but it does not address safe mobility in the immediate environment. Limiting mobility to only within the bed may not be a positive approach since it can lead to decreased independence and may negatively affect the client's psychological well-being. Thus, providing an obstacle-free path is the most effective way to support safety for a client with cranial nerve II impairment.

Promoting safety for a client with impairment of cranial nerve II, which is primarily responsible for vision, entails ensuring that the client can navigate their environment safely despite their visual limitations. Providing an obstacle-free path for ambulation is crucial because it directly addresses the challenges the client may face due to impaired vision. By removing potential hazards and ensuring a clear pathway, the nurse helps minimize the risk of falls or injuries, allowing the client to move around more confidently and independently.

While maintaining bright lighting in the room can assist in enhancing visual clarity, it does not directly mitigate the risks posed by physical obstacles. Encouraging the use of visual aids may also be beneficial, but it does not address safe mobility in the immediate environment. Limiting mobility to only within the bed may not be a positive approach since it can lead to decreased independence and may negatively affect the client's psychological well-being. Thus, providing an obstacle-free path is the most effective way to support safety for a client with cranial nerve II impairment.