What should be evaluated for safety before assisting a patient to walk?

• A. The environment.
• B. The patient's medical history only.
• C. The color of walls.
• D. The time of day.

Answer: (A)

Before helping a patient to walk, the most important safety consideration is the environment. The walking area should be free of hazards that could cause a fall or impede movement: floors must be dry and even, clutter cleared, rugs secured, cords out of the way, and lighting adequate so you can see any obstacles. Ensure footwear is appropriate, and that the patient has any needed assistive devices (like a cane or walker) and that grab bars or a sturdy support are within reach. Also check that a chair or secure surface is nearby for rest and that the call bell is accessible so the patient can get help if needed. The patient’s medical history can inform overall risk, but it doesn’t address the immediate hazard in the walking space. The color of the walls or the time of day don’t affect the safety of ambulation.