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 A
Explanation
A. Suctioning should be applied for no more than 10-15 seconds to prevent hypoxia. Prolonged suctioning can cause airway trauma and a decrease in oxygen saturation.
B. Encouraging the client to cough helps to clear the airway and is a positive action.
C. Waiting for 2 minutes between suctions is appropriate to allow for reoxygenation of the client.
D. Inserting the catheter without applying suction is the correct technique, as suction should only be applied when the catheter is withdrawn.
Correct Answer is B
Explanation
A. Tucking the chin toward the chest (not lifting the chin) may help improve swallowing by narrowing the airway, making it easier to swallow and reducing the risk of aspiration.
B.This positioning makes it easier for the nurse to observe signs of dysphagia, offer assistance as needed, and maintain better eye contact with the client. It also helps promote a more relaxed and reassuring environment, which can improve the client’s ability to swallow.
C. Talking during feeding can increase the risk of aspiration and compromise safe swallowing.
D. Coughing during feedings should not be discouraged, as it may indicate that the client is attempting to clear the airway and should be monitored carefully.
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