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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vitamin C significantly enhances the absorption of non-heme iron (the type of iron found in plant- based foods) by reducing iron to a more absorbable form and forming a complex with it that facilitates absorption in the intestines. Consuming foods rich in vitamin C, such as citrus fruits, strawberries, or bell peppers, along with iron-rich foods, can improve iron absorption.
B. While fiber is an important component of a healthy diet, it can inhibit iron absorption. High-fiber foods may bind with iron and reduce its bioavailability. For optimal iron absorption, it's advisable to consume high-fiber foods separately from iron-rich meals or to ensure a balanced intake.
C. Vitamin A is essential for various bodily functions, including vision and immune function. While it does not directly enhance iron absorption, it plays a role in overall health and can influence iron metabolism. However, its role in iron absorption is less direct compared to vitamin C.
D. Oxalates, found in foods like spinach, rhubarb, and certain nuts, can bind to iron and inhibit its absorption. They form insoluble complexes with iron, making it less available for absorption in the intestines.
Correct Answer is B
Explanation
A. This vitamin is water-soluble, not fat-soluble. It is important for immune function, collagen synthesis, and antioxidant protection. Since it is water-soluble, it does not require fat for absorption and is not typically included in fat-soluble vitamin supplements.
B. This vitamin is fat-soluble, meaning it requires fat for absorption. In conditions like acute pancreatitis, where fat absorption may be impaired, supplementation with vitamin A might be necessary to ensure adequate levels. Vitamin A is crucial for vision, immune function, and skin health.
C. This is a water-soluble vitamin involved in carbohydrate metabolism and nervous system function. It does not require fat for absorption and is not typically supplemented in cases of impaired fat absorption. It is important but not related to the fat-soluble vitamin needs in pancreatitis.
D. This is also a water-soluble vitamin necessary for red blood cell formation and neurological function. Although it can be affected in conditions of poor absorption, it is not a fat-soluble vitamin. It requires intrinsic factor for absorption in the intestines but does not relate to fat-soluble vitamin supplementation.
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