A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?
A client who is able to bear full weight on both lower extremities.
A client who has bilateral knee replacements with partial weight bearing on both legs.
A client who has a right femur fracture with no weight bearing on the affected leg.
A client who has bilateral leg braces due to paralysis of the lower extremities.
The Correct Answer is C
A reason: A client who is able to bear full weight on both lower extremities. A client who can bear full weight on both lower extremities does not need to use a three-point gait. This gait is designed for individuals who cannot bear weight on one leg, making this choice incorrect for the given scenario.
B reason: A client who has bilateral knee replacements with partial weight bearing on both legs. A client with bilateral knee replacements and partial weight bearing needs a different type of gait that distributes weight evenly across both legs. The three-point gait is not suitable for this condition, thus making this choice inappropriate.
C reason: A client who has a right femur fracture with no weight bearing on the affected leg. A three-point gait is specifically used for individuals who are unable to bear weight on one leg. This gait involves using crutches and the unaffected leg to form a tripod, which provides stability while moving. Therefore, this option is the correct choice.
D reason: A client who has bilateral leg braces due to paralysis of the lower extremities. A client with bilateral leg braces due to paralysis would require a different gait pattern that accommodates the use of braces and supports for both legs. The three-point gait is not designed for bilateral leg paralysis, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A reason:
BUN (blood urea nitrogen) is primarily used to assess kidney function and hydration status. It is not a direct indicator of infection.
B reason:
RBC (red blood cell) count measures the number of red blood cells and is used to assess anemia and other blood disorders. It does not indicate infection.
C reason:
WBC (white blood cell) count is correct. An elevated WBC count is a common indicator of infection, as white blood cells are part of the body's immune response to fight off pathogens.
D reason:
Potassium levels are related to electrolyte balance and are not directly indicative of infection.
Correct Answer is C
Explanation
A reason:
The evaluation phase involves assessing the effectiveness of the interventions and care plan, rather than gathering initial information about potential allergies. Asking about allergies comes earlier in the process.
B reason:
The planning phase focuses on setting goals and determining interventions based on the assessment data. While allergies are considered during planning, the initial gathering of allergy information occurs earlier.
C reason:
The assessment phase is correct. This is when the nurse collects comprehensive data about the client’s health status, including potential allergies. Gathering this information during assessment helps to prevent adverse reactions and plan safe care.
D reason:
The implementation phase involves carrying out the interventions outlined in the care plan. By this stage, any allergies should already be identified and documented to ensure safe execution of the care plan.
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.