A nurse in an urgent care center is reinforcing teaching with a client whose injury requires that he bear weight on only one foot. Which of the following crutch gaits should the nurse remind the client to use?
Swing-to gait
Swing-through gait
Two-point gait
Three-point gait
The Correct Answer is D
A. Swing-to gait: This gait is used when both legs are non-weight bearing and the client swings both legs forward to the crutches.
B. Swing-through gait: Similar to swing-to, but the legs swing past the crutches-used for clients with paralysis or weakness in both legs.
C. Two-point gait: This is for clients who can bear partial weight on both legs, using the opposite leg and crutch together.
D. Three-point gait: Used when one leg is non-weight bearing. The client moves both crutches forward with the affected leg off the ground, then advances the unaffected leg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client's hand is cool and pale: This indicates impaired circulation due to the restraint being too tight-a serious complication.
B. The client has a capillary refill of 1 second: This is a normal finding and indicates adequate perfusion.
C. The client has full range of motion in her wrist: This is a positive finding, not a complication.
D. The client is attempting to remove the restraint: This suggests agitation or discomfort but not necessarily a physical complication like impaired circulation.
Correct Answer is A
Explanation
A. Lower the head of the bed: This facilitates a horizontal transfer by making the bed and stretcher levels even, reducing strain during the move.
B. Place the bed in its lowest position: The bed should be adjusted to the same height as the stretcher for a smoother transfer.
C. Unlock the wheels on the bed: The wheels must be locked to prevent movement and injury.
D. Have two caregivers at the side of the bed: While help is needed, one caregiver on each side and possibly one at the head or foot is preferred depending on the client’s condition.
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