A nurse is caring for an older adult client newly admitted to the medical unit. Exhibits Click to highlight the pieces of information that indicate the client is at risk for falls. To deselect a piece of information, click on that piece of information again. Nurses' Notes 1000: An older adult client admitted following a fall down approximately five steps. Client's partner reports client possibly hit their head and was a little disoriented for a minute or two. Client states, "I feel fine. I just slipped." Client has a history of falls and orthostatic hypotension per client's partner. Client uses a walker and wears rubber-soled slippers at home. Client ordered new glasses following an eye exam last week but has not received them yet. Partner states they both do exercises that focus on coordination, three times per week. Vital Signs 1000: Temperature 37° C (98.6° F) Heart rate 72/min Respiratory rate 20/min Blood pressure Lying: 130/90 mm Hg Sitting: 128/88 mm Hg Standing: 98/60 mm Hg Oxygen saturation 97% on room air