A nurse is providing teaching about the use of crutches using a three-point gait to a client who has a tibia fracture. Which of the following actions by the client indicates an understanding of the teaching?
Positioning both hands on the grips with his elbows slightly flexed
Moving both crutches with the stronger leg forward first
Supporting his body weight while leaning on the axillary crutch pads
Stepping with his affected leg first when going up stairs
The Correct Answer is A
A. When using crutches, the client should position both hands on the grips with the elbows slightly flexed for proper support and balance.
B. In the three-point gait, the crutches and the injured leg move together, followed by the uninjured leg. The stronger leg does not move first.
C. The client should not lean on the axillary crutch pads as it can cause nerve damage. Body weight should be supported through the hands and arms.
D. When going up stairs, the uninjured leg should move first, followed by the crutches and the affected leg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While medication for anxiety may be appropriate, focusing on the emotional and spiritual aspects of care is essential for clients with terminal cancer.
B. Offering information on hospice care is an appropriate and compassionate response that provides the client with options for managing symptoms and improving quality of life at the end of life.
C. Discussing advance directives may be appropriate, but offering hospice care is a more direct and empathetic response for terminally ill clients.
D. While speaking to a spiritual advisor may be helpful, it is not the first step in addressing the client’s
expressed feelings of depression.
Correct Answer is B
Explanation
A. Applying intermittent pressure may not effectively stop bleeding from a cardiac catheterization site, as continuous pressure is typically more effective in controlling post-procedural bleeding.
B. Applying continuous pressure 2.5 cm above the percutaneous site is the appropriate action to stop bleeding from the catheterization site.
C. Applying pressure below the site may not effectively control bleeding and could compromise the site.
D. Continuous pressure should be applied above the percutaneous site, not below, to control bleeding.
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