A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client? Select all that apply

A. A raised toilet seat is an assistive device that facilitates easier transfers for clients with hemiparesis or decreased lower extremity strength following a stroke. It reduces the distance the client must lower themselves, thereby decreasing the risk of falls during toileting. This is considered a safety enhancement rather than a hazard for a post-stroke client. B. Uneven steps into the home present a significant trip hazard, particularly for a client who may have residual gait disturbances or proprioceptive deficits. Sudden changes in surface height require complex motor coordination and balance, which are often impaired after a cerebrovascular accident. Addressing structural irregularities is essential to prevent falls and subsequent fractures in the home environment. C. Grip bars in the shower provide essential stability and support for clients during high-risk activities like bathing. These installations allow the client to maintain balance on slippery surfaces and compensate for unilateral weakness. They are a standard recommendation in home safety assessments to promote independence and prevent injury in the bathroom area. D. Loose throw rugs in the kitchen are a primary cause of falls because they can easily slide or catch the client's foot during ambulation. For a stroke survivor with a potential foot drop or shuffling gait, these unanchored surfaces are extremely dangerous. Removing rugs or securing them with non-slip backing is a high-priority intervention for home safety. E. Storing commonly used items within easy reach is a proactive safety strategy that prevents the need for the client to use footstools or overextend their reach. By keeping essentials at waist level, the client maintains a stable center of gravity during daily activities. This modification reduces the likelihood of losing balance while performing independent activities of daily living.