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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Taking a hot shower in the morning can help decrease stiffness and improve joint mobility for clients with rheumatoid arthritis. Heat therapy is beneficial for morning stiffness.
B. Cold packs should not be applied directly to the skin as it may cause skin damage. Cold therapy is used for inflammation, but not for prolonged periods on the skin.
C. Biological response modifiers are not used specifically to prevent infection; they modify immune response and may increase infection risk.
D. Clustering physical activities can lead to fatigue. The nurse should recommend spreading activities throughout the day to conserve energy.

A. Clean the equipment with an alcohol-based cleaning product. B. Apply petroleum jelly to soothe the mucous membranes. C. Avoid using nail polish remover around the client. D. Use synthetic fabrics for the client's bedding.

Correct Answer is C

Explanation

A. Alcohol-based products should be avoided because they can be flammable when used near oxygen.
B. Petroleum jelly should not be used with oxygen therapy, as it is flammable. Water-based products are a safer option.
C. Nail polish remover, like other flammable liquids, should be avoided when using oxygen due to fire hazards.
D. Synthetic fabrics can generate static electricity, which may pose a risk near oxygen sources. Cotton fabrics are safer.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me."
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has rheumatoid arthritis about illness management. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?

Correct Answer is C

Explanation

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