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. A licensed practical nurse (LPN) is capable of performing sterile dressing changes, which is within their scope of practice.
B. An admission assessment requires a registered nurse (RN) to evaluate and formulate a comprehensive care plan, which exceeds the scope of an LPN.
C. Discharge teaching requires the RN’s expertise to provide in-depth education and ensure the patient understands the plan.
D. Completing the Glasgow Coma Scale requires an RN to assess neurological status and make appropriate decisions about care.
Correct Answer is A
Explanation
A. Offering information about respite care is a helpful and practical response. Respite care provides temporary relief for caregivers, allowing them to rest and recharge.
B. While it's important to acknowledge the son's efforts, this statement doesn't address the need for rest or offer solutions.
C. Suggesting sleeping pills without further assessment is not appropriate and may not address the root cause of the son's sleep deprivation.
D. While caring for a terminally ill person is challenging, this statement does not offer the support or solution the son needs.
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