An 88-Year-Old Woman Is Admitted to the Hospital with a Diagnosis

An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions. The nurse caring for the woman develops a care plan that includes the diagnosis Risk for Falls. A priority nursing intervention for this client is to:

A) perform a fall assessment.
B) keep all of the side rails up on the client's bed at nighttime.
C) place the client on bed rest so that she does not fall.
D) assess the client's dietary intake for calcium adequacy.