A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?

Choice A reason: Limiting fluid intake in the evening may reduce nocturia, but it does not directly address the client’s fear of falling. Additionally, excessive fluid restriction can lead to dehydration, especially in older adults, and should be used cautiously. Choice B reason: Leaving a nightlight on improves visibility and orientation, which can help reduce fall risk. However, while helpful, it does not provide direct assistance with toileting or mobility, which is the client’s primary concern. Choice C reason: Providing a bedside commode directly addresses the client’s fear by reducing the distance and effort required to reach the bathroom. It minimizes the risk of falls, especially during nighttime when visibility and alertness are reduced. This intervention promotes safety and autonomy. Choice D reason: Raising side rails and instructing the client to call for assistance may seem protective, but it can inadvertently increase fall risk if the client attempts to climb over the rails. This approach may also reduce the client’s sense of independence and is not the most effective fall prevention strategy in this context.