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
Related Questions
Correct Answer is D
Explanation
A. A 45° angle is used for subcutaneous injections, not intramuscular.
B. A 75° angle is not typically used for intramuscular injections.
C. A 60° angle is not typically used for intramuscular injections.
D. A 90° angle is appropriate for intramuscular injections into the ventrogluteal muscle to ensure the medication is delivered into the muscle tissue.
Correct Answer is ["B","C","D"]
Explanation
A. Traction weights are typically set by the physician and shouldn't be adjusted by the nurse unless specifically ordered.
B. Monitoring peripheral pulses helps assess circulation and neurovascular status in the affected extremity.
C. Examining the skin under the traction splint is essential to assess for skin integrity and prevent complications like pressure ulcers.
D. Assessing the temperature of the affected extremity helps detect signs of circulatory impairment or infection.
E. Positioning weights against the foot of the bed is not a correct action for managing Buck's traction.
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