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. Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement.
B. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT).
C. Leaving antiembolic stockings on during sleep helps prevent DVT, so the client's statement is incorrect.
D. Using a footstool while sitting in a chair promotes proper positioning and comfort.

A. Survey the target population to determine topics of interest related to health issues. B. Determine availability of health care providers from the community to provide the presentations. C. Base the programs on their developmental stage emphasizing changes in function and physical capabilities. D. Review the Healthy People 2020 Objectives to identify health issues affecting older adults.

Correct Answer is A

Explanation

A. Surveying the target population helps identify specific interests and health concerns, ensuring that the programs are tailored to the needs of older adults.
B. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults.
C. Basing the programs on their developmental stage is important, but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences.
D. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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