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. This response avoids addressing the client’s interest in alternative therapies and does not provide the
necessary guidance.
B. It is essential to provide information on safe alternative therapies and help the client identify qualified practitioners who offer these services.
C. Relying solely on online support groups may lead to unproven or unsafe treatments.
D. Encouraging the client to try any therapy without considering safety or evidence-based practices could be harmful.
Correct Answer is C
Explanation
A. Platelet count is important for assessing clotting, but INR is more relevant for monitoring warfarin therapy.
B. Fibrinogen levels are not the primary measure for warfarin management.
C. The INR (International Normalized Ratio) is the key test used to adjust warfarin dosing, as it measures the clotting tendency.
D. aPTT is useful for monitoring heparin therapy, not warfarin.
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