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17-year-old male arrives at the emergency department following playing baseball. He slid into a base, felt a 'pop', and had pain in his right ankle.

The client reports pain of 7 out of 10 in his right ankle, which is described as throbbing. Right pedal pulse was 2+, and the sensation was intact.

The client had a limited and painful range of motion in his ankle. Significant swelling and bruising in the ankle were observed.

Exhibits

The emergency department nurse cares for a client with right ankle pain.
Complete the statement below:

While teaching the client how to use crutches, the nurse should instruct the client to ambulate using the

and based on the client .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Choice A rationale: A three-point gait is used when one leg is weaker or injured and cannot bear weight. The client should place the crutches about 12 inches in front of the feet and lean forward on the crutches. Then, the client should lift the injured leg and

swing the body forward between the crutches, landing on the uninjured leg. The client should not put any weight on the injured ankle, as ordered by the physician.

Choice B rationale: A four-point gait is used when both legs can bear some weight, but one is weaker than the other.

Choice C rationale: A swing-through gait is used when both legs can bear weight, but need assistance with balance and coordination.

Choice D rationale: A two-point gait is used when both legs have equal strength and can bear full weight.


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Correct Answer is C

Explanation

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Choice B rationale: Proper storage at a cool temperature helps maintain the integrity of the collected urine.

Choice C rationale: Avoiding protein intake during the collection can significantly alter the results of the creatinine clearance test. Eating a regular diet is important to maintain accurate test results.

Choice D rationale: Discarding the first void and starting the collection afterward is a common practice in 24-hour urine collections to ensure a complete sample.

Correct Answer is C

Explanation

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Choice B rationale: Genital herpes should not be reported to the public health department.

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