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 D

Explanation

A. Elevating the arm may reduce blood flow and make vein access more difficult.
B. The tourniquet should be applied above the venipuncture site, not below, to engorge the veins.
C. The dominant arm may be more difficult to access due to muscle use; the non-dominant arm is often easier for vein insertion.
D. Selecting a vein that is palpable and straight provides the best chance for successful and comfortable catheter insertion.

A. Bulging fontanels B. Hypertonicity C. Bradycardia D. Acrocyanosis

Correct Answer is B

Explanation

A. Bulging fontanels are a sign of increased intracranial pressure, not withdrawal.
B. Hypertonicity (muscle rigidity) is a common sign of neonatal withdrawal from opioids like methadone.
C. Bradycardia is not typically associated with opioid withdrawal in newborns.
D. Acrocyanosis is a normal finding in newborns and is not related to withdrawal.

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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

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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