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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. hydrotherapy

Hydrotherapy involves water treatment, not related to smoothing cast edges.

B. petal

Petaling is the technique of applying smooth strips of tape (usually in a petal shape) over rough edges to prevent skin irritation.

C. bivalve

Bivalving is when a cast is cut into two halves, typically to relieve pressure—not to smooth edges.

D. splint

A splint is a temporary immobilizing device, not related to the care of cast edges.

A. Develops fatigue when assisting with morning hygiene care B. Needs assistance raising her legs to put on socks C. Performs active range-of-motion (ROM) exercises of all extremities D. Demonstrates mild dyspnea when eating breakfast

Correct Answer is C

Explanation

A. Develops fatigue when assisting with morning hygiene care

Fatigue during hygiene suggests low endurance; not ready to ambulate safely.

B. Needs assistance raising her legs to put on socks

Needing assistance for simple tasks shows weakness and poor muscle control.

C. Performs active range-of-motion (ROM) exercises of all extremities

Performing full active ROM exercises indicates good muscle strength and coordination, suggesting readiness to attempt ambulation.

D. Demonstrates mild dyspnea when eating breakfast

Dyspnea with minimal activity (eating) indicates limited cardiopulmonary reserve-not yet fit to ambulate.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Correct Answer is B

Explanation

A nurse is collecting data from a client who has required strict bed rest for 1 week. Which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

Correct Answer is C

Explanation

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

A nurse is collecting data about a client's range of motion. Which of the following instructions should the nurse give to the client to observe hyperextension of the neck?

The nurse working with immobilized patients understands that monitoring for reports of pain with urination, changes in urination, and assessing fro frequency is essential in order to determine if an unwanted urinary problem is arising from her patient being immobile.

A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home education plan information relative to: (Select all that apply.)