A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?
The client stands in a tripod position prior to walking.
The client keeps the elbows in a flexed position.
The client pushes downward on the handgrips.
The client places partial weight on the affected leg.
The Correct Answer is D
A. Standing in a tripod position prior to walking with crutches is a correct stance to maintain balance and stability.
B. Keeping the elbows flexed helps absorb shock during ambulation and is appropriate when using crutches.
C. Pushing downward on the handgrips is necessary to generate upward force and support while using crutches.
D. Placing partial weight on the affected leg while ambulating with crutches using a three-point gait is incorrect and can jeopardize safety by potentially causing injury or instability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Gelatin is typically allowed on a clear liquid diet because it melts into a clear liquid.
B. Yogurt is not typically included on a clear liquid diet because it is not a clear liquid; it is a semi-solid food.
C. Popsicles are usually allowed on a clear liquid diet as they melt into a liquid form.
D. Broth is a clear liquid and is therefore appropriate for a clear liquid diet.
Correct Answer is A
Explanation
A. Checking the patency of the client's airway is the priority action because maintaining a clear airway is crucial during a seizure to ensure adequate oxygenation and prevent aspiration.
B. Determining the poison is important but not the immediate priority during a seizure.
C. Positioning the client side-lying is important to prevent aspiration, but the first action should be to ensure the airway is clear.
D. Identifying the amount of poison ingested is important for treatment but not the immediate priority during a seizure.
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