A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?
Hold the crutches on your unaffected side when preparing to sit in a chair
Hold the crutches 9 inches in front and to the side of each foot
Lean on the crutches to support your body weight when standing
Fully extend your arms when holding onto the hand grips
The Correct Answer is A
A. Hold the crutches on your unaffected side when preparing to sit in a chair
This helps maintain balance and control while transitioning from standing to sitting.
B. Hold the crutches 9 inches in front and to the side of each foot
The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.
C. Lean on the crutches to support your body weight when standing
Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).
D. Fully extend your arms when holding onto the hand grips
The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Warm feet and hands.
Warmth suggests good blood flow and is a normal finding.
B. Numbness of distal limb.
Numbness is a sign of neurovascular compromise, possibly from swelling or impaired circulation due to the cast.
C. Palpable peripheral pulses.
Pulses are a positive finding indicating adequate perfusion.
D. Capillary refill of 3 seconds.
Capillary refill less than or equal to 3 seconds is considered normal.
Correct Answer is A
Explanation
A. "I have a set of my brother's crutches in my basement that I can also use.
Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.
B. "I will keep spare crutch tips handy."
Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.
C. "I will bear the weight of my body on my hands."
Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).
D. "I will inspect my crutches every day for signs of wear."
Daily inspection of crutch tips and padding helps ensure safety and durability.
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