A nurse is reinforcing teaching with a client who has left-leg weakness and is learning to use a walker. Which of the following instructions should the nurse include in the teaching?
"Maintain your arms in a slightly flexed position when using the walker."
"Move your right leg forward as you advance the walker."
"Support yourself with the walker when climbing stairs."
"Keep your eyes on your feet when ambulating with the walker."
The Correct Answer is A
A. "Maintain your arms in a slightly flexed position when using the walker.": The walker should be adjusted so the client's elbows are flexed at approximately 20° to 30°. This allows the client to bear weight through their arms effectively.
B. "Move your right leg forward as you advance the walker.": The walker should be advanced first, followed by the affected (weak) leg, then the stronger leg.
C. "Support yourself with the walker when climbing stairs.": Walkers are generally unsafe for use on stairs; a client should use a handrail and a cane or crutches if stairs are necessary.
D. "Keep your eyes on your feet when ambulating with the walker.": Clients should look forward to maintain balance and avoid obstacles; looking down increases the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Maintain your arms in a slightly flexed position when using the walker.": The walker should be adjusted so the client's elbows are flexed at approximately 20° to 30°. This allows the client to bear weight through their arms effectively.
B. "Move your right leg forward as you advance the walker.": The walker should be advanced first, followed by the affected (weak) leg, then the stronger leg.
C. "Support yourself with the walker when climbing stairs.": Walkers are generally unsafe for use on stairs; a client should use a handrail and a cane or crutches if stairs are necessary.
D. "Keep your eyes on your feet when ambulating with the walker.": Clients should look forward to maintain balance and avoid obstacles; looking down increases the risk of falls.
Correct Answer is ["B","D","E","F"]
Explanation
A. Amount of time washing hands: On Day 14, the client washes hands for 15 seconds. Safe food handling guidelines (CDC/USDA) require scrubbing hands with soap for at least 20 seconds to effectively remove pathogens. This indicates the teaching was not fully understood.
B. Time leftovers sit unrefrigerated on countertop: On Day 1, the client waited 3 hours. On Day 14, the client moved leftovers to the fridge within 2 hours. This aligns with safety standards to prevent the "Danger Zone" temperature range where bacteria multiply rapidly.
C. Refrigerator temperature: On Day 14, the fridge is set to 5.6° C (42° F). For safe food storage, a refrigerator must be set at or below 4.4° C (40° F). The client’s setting is still too high.
D. Defrosting of frozen foods: On Day 1, the client defrosted on the counter (unsafe). On Day 14, the client is defrosting in the refrigerator, which is the safest method to keep food at a consistent, cold temperature during thawing.
E. Leftover storage time in refrigerator: On Day 1, the client kept leftovers for 7 days (too long). On Day 14, they are discarded after 2 days. Generally, leftovers should be used or discarded within 3 to 4 days; 2 days is well within the safe limit.
F. Use of cutting board: On Day 1, the client used one board for everything (risk of cross-contamination). On Day 14, they use separate boards for raw meats and vegetables, which is a critical step in preventing foodborne illness like Salmonellosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.