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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Speeding the drying with a hair dryer:
This is not recommended as it can cause uneven drying and burns. Plaster casts must dry naturally.
B. Elevating the leg on one to two pillows:
Elevation promotes venous return and reduces swelling in the affected extremity.
C. Petaling the edges of the cast:
Petaling helps prevent skin breakdown from rough cast edges but does not affect edema.
D. Placing the patient in high Fowler's position:
This position benefits respiratory function but does not aid in reducing lower extremity edema.
Correct Answer is B
Explanation
A. Allows for large traction weights to reduce the fracture.
Buck's traction uses light weights (5–10 lbs) and is not used for fracture reduction, but rather to relieve symptoms.
B. Reduces muscle spasm that accompanies fractures.
Buck's traction is commonly used preoperatively to reduce muscle spasm, pain, and to align the limb temporarily.
C. Helps the bone heal slowly.
It does not influence the speed of bone healing directly. Its purpose is mainly for temporary stabilization and symptom relief.
D. Does not cause skin disruptions.
While it's less invasive than skeletal traction, skin breakdown is still a risk, especially in older adults with fragile skin.
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