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 D

Explanation

A. This action is not appropriate as it could stimulate the gag reflex and lead to choking or aspiration. It does not contribute to effective oral care. Instead, gentle techniques using appropriate tools should be used to clean the mouth.
B. Holding the toothbrush at a 90° angle can be effective for brushing teeth as it allows for better access to the surfaces of the teeth. However, for an unconscious patient, this angle might not be practical or safe depending on the circumstances.
C. Vigorous brushing is not recommended, especially for an unconscious client. It could cause damage to the gums, lead to discomfort, or risk aspiration of fluids. Gentle brushing is advised to clean the teeth and gums without causing injury.
D. Turning the client to the side helps prevent aspiration of saliva or any fluids that may be in the mouth. It also provides better access for oral care and minimizes the risk of choking. This position is often recommended for unconscious patients to maintain their safety during oral care.

A. Vital sign measurement B. Nature of invasiveness of the surgical procedure C. Visual observation for nonverbal signs of pain D. Client's self-report of pain

Correct Answer is D

Explanation

A. While changes in vital signs, such as increased heart rate and blood pressure, may indicate pain, they are not specific to pain and can be influenced by other factors.
B. The type of surgery can provide some clues about the potential for pain, but it does not accurately reflect the individual's pain experience.
C. Nonverbal cues like grimacing, guarding, or restlessness can suggest pain, but they are not always reliable indicators. Some clients may not exhibit obvious signs of pain, even if they are experiencing significant discomfort.
D. This is the most reliable source of information about a client's pain intensity. Only the client can accurately describe their own pain experience, including its location, severity, and quality.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

Correct Answer is D

Explanation

A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?

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

A nurse is assisting with the care of a client. Exhibits A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

A charge nurse is reinforcing teaching with a newly licensed nurse about the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices is based on a balance of the body, mind, and spirit to prevent disease?

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

A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?