A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?

The client places one crutch on each side when assuming a sitting position.

The client places weight on the axillae when walking.

The client moves the unaffected leg onto a step first when descending stairs.

The client has slightly flexed elbows when ambulating with crutches.

Answer and Explanation

The Correct Answer is D

A) Placing one crutch on each side when assuming a sitting position is not indicative of safe crutch use as it does not provide adequate support or balance during the transition from standing to sitting.
B) Placing weight on the axillae, or underarms, can cause nerve damage due to the pressure on the radial nerve located there; therefore, this is not a safe practice.
C) When descending stairs, the affected leg should be moved first, followed by the crutches and then the unaffected leg, to maintain balance and safety. Therefore, moving the unaffected leg onto a step first is not the safest option.
D) Having slightly flexed elbows allows for proper distribution of weight and helps in maintaining balance while ambulating with crutches, making it the correct and safe method.

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Correct Answer is C

Explanation

A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.

C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

A. "Raise the index finger if gagging occurs during insertion." B. "Bear down during insertion." C. Say "stop" if a burning sensation is felt inside the nose." D. Inhale forcefully during insertion."

Correct Answer is C

Explanation

A. Raising the index finger is not a typical response for managing gagging during NG tube insertion.

B. Bearing down during insertion is not an appropriate instruction and may increase the risk of complications.
C. Instructing the client to say "stop" if a burning sensation is felt inside the nose allows for communication and prompt action to ensure the client's comfort and safety.
D. Inhaling forcefully during insertion is not a recommended action and may interfere with the procedure.

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A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?

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