Which postpartum client is at higher risk for a fall?

The client with an indwelling urinary catheter is at higher risk for a fall due to a few key factors. The presence of a catheter can lead to a lack of mobility and ambulation due to discomfort, fear of pulling on the catheter or dislodging it, or the need for careful maneuvering to avoid kinks or other issues with the catheter. This situation can create a sense of instability and can affect the client's confidence in moving around, increasing the overall risk of a fall.

Additionally, an indwelling urinary catheter may be indicative of complications such as severe perineal pain, swelling, or the need for close monitoring post-delivery, which can affect balance and awareness of surroundings. Collectively, these concerns necessitate closer supervision and assistance during ambulation to promote safety.

In contrast, clients who are ambulating independently, using a walker, or simply received pain medication without additional complications may not face the same level of risk for falls. Each of these scenarios involves different levels of stability and mobility that are generally more conducive to safe movement compared to the challenges posed by managing an indwelling catheter.