When using crutches, what is the correct way to walk?

Alternate between bearing weight on the crutches and the injured leg

Use the crutches to hop forward without putting weight on the injured leg

Keep the injured leg elevated at all times

Lean heavily on the crutches to avoid putting weight on the injured leg

Answer and Explanation

The Correct Answer is A

A.   This is the correct way to walk with crutches. It allows for weight-bearing on the injured leg as tolerated, promoting healing and preventing muscle atrophy.
B.   Hopping can put additional stress on the injured leg and other joints, increasing the risk of further injury.
C.   While elevating the injured leg can help reduce swelling, it's important to engage in regular weight- bearing exercises to maintain muscle strength and prevent stiffness.
D.   Leaning heavily on the crutches can put excessive pressure on the wrists and shoulders, leading to pain and discomfort.

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Correct Answer is C

Explanation

A. Using hot water is not recommended as it can cause skin irritation or burns, especially in vulnerable populations such as those with urinary incontinence. Warm or lukewarm water is more appropriate for cleaning sensitive skin.
B. Applying cornstarch can sometimes be used to absorb moisture and reduce friction; however, it is not the first-line recommendation. It may also promote yeast growth in the presence of moisture, so it should be used with caution.
C. Using a pH-balanced cleanser helps maintain the natural acidity of the skin, which is important for skin integrity and preventing irritation. This type of cleanser is less likely to disrupt the skin's barrier, reducing the risk of skin breakdown and infection.
D. While air-drying can be beneficial in some cases, it is generally not the best practice after cleaning. Gently patting the skin dry with a soft towel is usually recommended to avoid irritation. Allowing skin to remain damp can increase the risk of skin breakdown.

A. Client is asleep and resting B. Client had 150 mL of emesis in last hour C. Ondansetron 4 mg IV bolus for nausea and vomiting D. Client reports nausea and vomiting 30 minutes following surgery

Correct Answer is C

Explanation

A. This statement pertains to the client's current state but does not represent an intervention taken by the nurse. It would be more appropriate for documentation in a narrative or assessment section rather than the intervention component.
B. This entry describes an outcome or finding related to the client’s condition rather than an intervention. While it is important data, it does not reflect an action taken by the nurse and thus would not be included in the intervention section.
C. It clearly describes a specific action taken by the nurse (administering medication) in response to the problem (nausea and vomiting). It directly addresses the client's needs and reflects an intervention aimed at treating the identified problem.
D. This statement indicates the problem or symptom that the client is experiencing but does not describe an intervention. While it is critical information for understanding the client’s condition, it belongs in the problem or assessment section rather than the intervention component.

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When using crutches, what is the correct way to walk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the intervention component?

Correct Answer is C

Explanation

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

A nurse is talking with a client who reports acute lower back pain after moving heavy boxes. Which of the following information should the nurse reinforce? D

A nurse is collecting data on a client who has peripheral neuropathy. Which of the following findings should the nurse expect?

A nurse is caring for a client who had radiation therapy and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?