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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

5 to 15 degrees

45 to 60 degrees

15 to 30 degrees

30 to 45 degrees

Answer and Explanation

The Correct Answer is C

A. 5 to 15 degrees

This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.

B. 45 to 60 degrees

This angle is too large, suggesting the walker is too short, forcing the client to hunch over.

C. 15 to 30 degrees

The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.

D. 30 to 45 degrees

This angle is higher than recommended and could result in improper posture and safety risks.

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Correct Answer is D

Explanation

A. Log rolling every 2 hr

Log rolling is appropriate for spinal precautions, not necessary in Buck’s traction.

B. Passive range-of-motion exercises of the right leg

The leg in traction must remain immobilized; no ROM exercises on the affected leg.

C. Active range-of-motion exercises of the left leg

While this can help prevent deconditioning, it’s not as effective for overall mobility as isometric exercises.

D. Isometric exercises of both legs

Isometric exercises (e.g., quad or glute squeezes) promote circulation and prevent muscle atrophy in both limbs without disturbing traction.

A. "I have a set of my brother's crutches in my basement that I can also use." B. "I will keep spare crutch tips handy." C. "I will bear the weight of my body on my hands." D. "I will inspect my crutches every day for signs of wear."

Correct Answer is A

Explanation

A. "I have a set of my brother's crutches in my basement that I can also use.

Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.

B. "I will keep spare crutch tips handy."

Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.

C. "I will bear the weight of my body on my hands."

Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).

D. "I will inspect my crutches every day for signs of wear."

Daily inspection of crutch tips and padding helps ensure safety and durability.

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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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