A nurse is inserting an indwelling urinary catheter for a female client.
In which order should the nurse perform the following steps? (Move the steps
into the box on the right, placing them in the order of performance.
Use all the steps.).

This gait pattern is used when one of the lower extremities is unable to fully bear weight due to fracture, amputation, joint replacement etc12 The client should advance both crutches and the affected leg as one unit, and then bring the unaffected leg forward to the crutches as the second unit

Choice B is wrong because keeping the crutches at the level of the axillae can cause nerve damage and reduce circulation.

The crutches should be positioned with 2 fingers of distance between the axilla and the axilla pad with the elbow flexed between 20-30 degrees

Choice C is wrong because standing with the crutch tips against the feet can cause instability and increase the risk of falling.

The crutch tips should be placed about 15 cm (6 inches) in front of and 15 cm to the side of each foot

Choice D is wrong because holding the arms straight when walking can cause fatigue and strain on the shoulders and wrists.

The client should keep a slight bend in the elbows when walking with crutches

This is because the nurse should first assess the client’s baseline knowledge and readiness to learn before providing any teaching.

The nurse should also tailor the teaching to the client’s individual needs and preferences.

Choice B is wrong because showing the client a video demonstration of peak flow meter use may not be the most effective way of teaching if the client has different learning styles or needs.

The nurse should also involve the client in the learning process and not just rely on passive methods.

Choice C is wrong because observing the client using the peak flow meter is an evaluation step that should be done after teaching and reinforcing the correct technique.

The nurse should not assume that the client knows how to use the peak flow meter without assessing their knowledge first.

Choice D is wrong because emphasizing the importance of the daily use of the peak flow meter is a motivational strategy that should be done after assessing the client’s knowledge and providing teaching.

The nurse should also explain the rationale and benefits of using the peak flow meter, not just tell the client to do it.

A peak flow meter is a small device that measures how fast a person can forcefully blow air out of their lungs in one fast breath.

It is one indicator of airways changes that may occur in people with asthma or COPD.

To get a peak flow meter, speak to a doctor.