A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

"Support your body weight on the underarm crutch pads."

"Look down at your feet before moving the crutches."

"Place one crutch forward with the opposite foot and then place the second crutch forward followed by the second foot."

"Move both crutches forward while standing on the unaffected leg, then lift and swing your body past the crutches."

Answer and Explanation

The Correct Answer is D

A.   Crutches should not be used to support body weight under the arms, as this can cause nerve damage or discomfort. Instead, weight should be supported on the hands and arms, with the crutches positioned to support the client’s weight. Proper use involves placing the crutches slightly in front of the feet, with weight supported on the hands, not the underarms.
B.   While it's important to be aware of your surroundings, looking down at your feet can be counterproductive as it may affect balance and coordination. The client should maintain an upright posture and look ahead to ensure proper gait and balance while moving. This helps in coordinating the movement of crutches and feet more effectively.
C.   In a four-point gait, each crutch and foot move alternately, which is different from the three-point gait. The three-point gait involves moving both crutches and the affected leg forward simultaneously, followed by the unaffected leg.
D.   In the three-point gait, the client moves both crutches forward at the same time while keeping the affected leg off the ground or in a non-weight-bearing position. Then, the client swings the unaffected leg forward to step past the crutches. This method ensures that weight is only placed on the unaffected leg while moving.

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Correct Answer is A

Explanation

A. This vitamin is essential for wound healing. It plays a critical role in cellular immune responses, skin integrity, and the repair of epithelial tissues. Vitamin A helps in the formation of new skin cells and promotes collagen synthesis, which is vital for wound healing.
B. While vitamin D is crucial for bone health and calcium absorption, its direct role in wound healing is less pronounced compared to other nutrients. Vitamin D supports overall immune function, which can indirectly support the healing process, but it is not as directly involved in wound repair as vitamin A or other specific nutrients.
C. Vitamin B1 is important for carbohydrate metabolism and nerve function, but its direct role in wound healing is minimal compared to other vitamins. While essential for overall health, vitamin B1 does not specifically target wound healing processes.
D. Calcium is crucial for bone health and muscle function. It plays a role in blood clotting and can support overall health, but its direct impact on wound healing is less significant compared to nutrients like vitamin A and vitamin C.

A. Tempeh B. Sunflower margarine C. Sea vegetables D. Algae

Correct Answer is D

Explanation

A. Tempeh is a fermented soybean product, but it's not a reliable source of vitamin B12. While it can contain some vitamin B12, the amount can vary depending on the production process.
B. Sunflower margarine is a plant-based product and does not contain vitamin B12.
C. Sea vegetables can contain some vitamin B12, but the amount is often unreliable and can vary depending on the type of sea vegetable and where it was grown.
D. Algae is the most reliable plant-based source of vitamin B12. It's a common ingredient in many vegan vitamin B12 supplements and fortified foods.

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A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

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