The Nurse Prepares to Assess Whether a Client Has a Risk

The nurse prepares to assess whether a client has a risk for falling.Which question should the nurse ask if using the Morse fall scale? Select all that apply.

A) What is the client's gait?
B) Does the client use an ambulatory aid?
C) Does the client have a history of falling?
D) Does the client have an intravenous infusion?
E) Does the client need help walking to the bathroom?