Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

the pads should be 1/2 to 2 inches (1.3cm to 5cm) below the axilla.

when walking, the patient will need to straighten the elbow and the wrist during weight bearing

resting the body's weight on the axillary bar does not put pressure on vital nerves which can occlude blood vessels in the axilla causing permanent or temporary damage.

they will need to be adjusted in both overall length and from the axillary bar to the handgrip

Answer and Explanation

The Correct Answer is D

A. The pads should be 1/2 to 2 inches (1.3cm to 5cm) below the axilla

This is true and helps avoid pressure on the axilla and nerves.

B. When walking, the patient will need to straighten the elbow and the wrist during weight bearing

Elbows should be slightly flexed (~15–30 degrees); straightening the elbow and wrist fully can cause injury and reduce control.

C. Resting the body's weight on the axillary bar does not put pressure on vital nerves which can occlude blood vessels in the axilla causing permanent or temporary damage

Resting on the axillary bar can compress the brachial plexus and axillary vessels, causing nerve damage or paralysis.

D. They will need to be adjusted in both overall length and from the axillary bar to the handgrip

Proper crutch fitting includes adjusting both the overall length and the handgrip height.

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Correct Answer is A

Explanation

A. "I have a set of my brother's crutches in my basement that I can also use.

Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.

B. "I will keep spare crutch tips handy."

Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.

C. "I will bear the weight of my body on my hands."

Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).

D. "I will inspect my crutches every day for signs of wear."

Daily inspection of crutch tips and padding helps ensure safety and durability.

A. raise the head of the bed to 30 to 45 degrees. B. elevate the machine at the foot of the bed on one pillow. C. set the proper flexion and extension limits. D. keep the operated knee warm.

Correct Answer is C

Explanation

A. Raise the head of the bed to 30 to 45 degrees.

While head elevation for comfort is acceptable, it is not the primary responsibility for CPM care.

B. Elevate the machine at the foot of the bed on one pillow.

The CPM machine should lie flat along the bed frame. Elevation on a pillow can cause misalignment or malfunction.

C. Set the proper flexion and extension limits.

The nurse must confirm that the machine is set according to the provider's orders for proper range of motion and to prevent injury.

D. Keep the operated knee warm.

While comfort is important, this is not a priority of CPM machine care and doesn't directly relate to its function.

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Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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