What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?
To avoid putting pressure on the client's stronger leg
To ensure proper positioning of the hands on the walker
To provide support for the client's weight while moving their weaker leg
To maintain the client's center of gravity close to the body
The Correct Answer is C
A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The objective portion of the SOAP note includes measurable and observable data obtained through physical examination, assessments, and diagnostic tests. Vital signs (such as blood pressure, heart rate, respiratory rate, and temperature) are considered objective data.
B. The subjective section includes information reported by the client, such as their feelings, perceptions, and experiences. This can include complaints of pain or descriptions of symptoms but does not include measurable data like vital signs.
C. The plan section outlines the interventions, treatments, and actions to be taken based on the assessment findings. While it may reference vital signs in terms of monitoring or interventions related to them, it does not contain the actual recorded vital sign values.
D. The assessment section includes the nurse’s clinical judgment based on the subjective and objective data. It may summarize findings or indicate potential diagnoses but does not include the actual vital sign measurements.
Correct Answer is ["B","C","E"]
Explanation
A. While a cane can be helpful for balance, it doesn't necessarily increase fall risk. In fact, it can help reduce the risk.
B. Throw rugs can be tripping hazards, especially for individuals with visual impairments like macular degeneration.
C. Electrical cords can cause tripping and falls, especially in areas with high foot traffic.
D. A grab bar can actually help prevent falls, especially in the bathroom where there is a risk of slipping.
E. This eye condition can impair vision, making it difficult to see obstacles and potential hazards, increasing the risk of falls.
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