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A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

Take off the rubber tips of the crutches while using stairs.

Bring the good leg up first when going up stairs.

Move the good leg and the crutches together.

Rest the axillae on the axillary bar of the crutch.

Answer and Explanation

The Correct Answer is B

A. Take off the rubber tips of the crutches while using stairs.

Rubber tips provide traction and prevent slipping; they must remain in place.

B. Bring the good leg up first when going up stairs.

The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.

C. Move the good leg and the crutches together.

Crutches move with the affected (bad) leg, not the good one.

D. Rest the axillae on the axillary bar of the crutch.

This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.

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Correct Answer is B

Explanation

A. "Keep your head straight and turn it as far as possible to either side."

This is rotation, not hyperextension.

B. "Move your head from the upright position back as far as you can."

This describes hyperextension, which is the movement of the head beyond the neutral upright position.

C. "Move your head so that your chin rests on your chest."

This is flexion, not hyperextension.

D. "Move your head laterally towards your right and left shoulder."

This describes lateral flexion, not hyperextension.

A. palms only. B. palms and flat parts of fingers. C. fingertips and flat parts of fingers. D. fingertips and palms.

Correct Answer is A

Explanation

A. Palms only.

Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.

B. Palms and flat parts of fingers.

Using palms is safest; fingers can still create indentations if not careful.

C. Fingertips and flat parts of fingers.

Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.

D. Fingertips and palms.

Fingertips should be avoided entirely when handling a fresh cast.

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A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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