A nurse is caring for a postpartum client in an outpatient setting.

Exhibits

A nurse is caring for a postpartum client in an outpatient setting.

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

evidenced by the client's

The correct answer is a. Moving both crutches with the stronger leg forward first.

Rationale for Choice C:

• Proper positioning of the hands on the grips and keeping the elbows slightly flexed helps ensure stability and control while using the crutches.

Rationale for Other Choices:

a.In a three-point gait, the client moves both crutches and the affected leg together, followed by the unaffected leg. The stronger leg does not move forward first.

b. Stepping with the affected leg first when going up stairs: This action is incorrect for the three-point gait. When ascending stairs, the client should move the stronger leg up first, followed by the crutches and the affected leg.

d. Supporting his body weight while leaning on the axillary crutch pads: This action is also correct for general crutch use, but it does not specifically address the weight-bearing restrictions and movement pattern of the three-point gait.

Additional Information:

• Practice and supervision:It's essential for the client to practice the three-point gait under the supervision of a healthcare professional to ensure proper technique and safety.
• Gradual progression:The client should gradually increase their distance and duration of crutch use as their strength and coordination improve.
• Pain management:Adequate pain management is crucial to allow the client to participate in rehabilitation and regain mobility.

A. Incorrect. While some gestures can be helpful in communication, they might not always convey complex medical information accurately.

B. Incorrect. Speaking slowly might not necessarily enhance understanding, especially if the client's primary language is different from the nurse's.

C. Correct. When using an interpreter, the nurse should address the client directly and speak as if they are having a direct conversation with the client.

D. Incorrect. Pausing in the middle of sentences can disrupt the flow of communication and might not facilitate understanding.