A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
"I should move my stronger leg forward before moving my weaker leg."
"I will hold the cane on my stronger side."
"I will move the cane forward 18 inches."
“I should wear shoes with smooth soles to help slide my weak leg forward."
The Correct Answer is B
Rationale:
A. Moving the stronger leg forward before moving the weaker leg is incorrect and may increase the risk of falls.
B. Holding the cane on the stronger side provides support and stability while walking.
C. Moving the cane forward 18 inches is incorrect and may increase the risk of falls.
D. Wearing shoes with smooth soles may decrease traction and increase the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Providing the client with three large meals each day may be overwhelming and may not promote an increase in food intake.
B. Limiting snacks between meals may not promote an increase in food intake and may contribute to malnutrition.
C. Providing the client with finger foods for meals is a practical approach that can promote an increase in food intake and reduce the risk of malnutrition.
D. Restricting visitors during meals may not promote an increase in food intake and may contribute to social isolation.
Correct Answer is B
Explanation
Rationale:
A. Allowing sterile forceps to rest in a container of sterile does not affect the sterility of the field.
B. Pouring sterile solution with the bottle held over the field is an inappropriate technique since it breaches the sterility of the field.
C. Placing unnecessary sterile items on the field is not ideal, but it does not indicate contamination of the surgical field.
D. The handle of a pair of sterile scissors resting 5 cm (2 in) from the field's edge does not indicate contamination of the surgical field. The scissors should be placed within easy reach of the nurse but should not touch non-sterile items.
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