A nurse is reinforcing discharge instructions with a client who is walking with crutches. Which of the following statements by the client indicates an understanding of the instructions?

Choice A Reason:

"This type of device is useful for a client who cannot assist." This statement accurately reflects the purpose of a mechanical lift. Mechanical lifts are designed to assist individuals who have limited or no weight-bearing capacity, making them suitable for clients who cannot actively participate in the transfer process. These devices provide support and aid in moving the client safely and comfortably.

Choice B Reason:

"The lower end of the sling goes below the client's calves. This statement is incorrect. The lower end of the sling typically goes under the client's thighs, not below the calves. Placing the sling under the thighs provides proper support and stability during lifts and transfers.

Choice C Reason:

"The sides of the sling are for the client to hold on to." This statement is incorrect. The sides of the sling are not meant for the client to hold on to. The sling is designed to cradle and support the client's body during transfers, ensuring a secure and comfortable lift without relying on the client's strength.

Choice D Reason:

"The device requires the client to use upper body strength." This statement is incorrect. The primary purpose of a mechanical lift is to minimize the physical effort required from the client. These devices are designed to lift and transfer clients with minimal assistance from the client, reducing the risk of injury and ensuring a safe transfer for both the client and the caregiver.

Choice A Reason:

"I should advance my crutches up the step ahead of my unaffected leg" This statement demonstrates an understanding of the correct technique for ascending stairs with crutches. The client should advance the crutches onto the step first, followed by the unaffected leg.

Choice B Reason:

"I should keep my elbows straight when I am walking with my crutches": It is recommended to maintain a slight bend in the elbows to absorb shock and provide stability during crutch walking.

Choice C Reason:

"I will support my weight on the hand grips of the crutches": This is not an accurate statement. Weight should be supported through the hands and arms, not just the hand grips.

Choice D Reason:

"When I'm walking around my house with my crutches, it's okay to take my shoes off": Walking with crutches while barefoot can increase the risk of slipping and falling. It is generally recommended to wear supportive footwear.