How it Works
Try Naxlex NCLEX-RN (Free-Trial)

17-year-old male arrives at the emergency department following playing baseball. He slid into a base, felt a 'pop', and had pain in his right ankle.

The client reports pain of 7 out of 10 in his right ankle, which is described as throbbing. Right pedal pulse was 2+, and the sensation was intact.

The client had a limited and painful range of motion in his ankle. Significant swelling and bruising in the ankle were observed.

Exhibits

The emergency department nurse cares for a client with right ankle pain.
Complete the statement below:

While teaching the client how to use crutches, the nurse should instruct the client to ambulate using the

and based on the client .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Choice A rationale: A three-point gait is used when one leg is weaker or injured and cannot bear weight. The client should place the crutches about 12 inches in front of the feet and lean forward on the crutches. Then, the client should lift the injured leg and

swing the body forward between the crutches, landing on the uninjured leg. The client should not put any weight on the injured ankle, as ordered by the physician.

Choice B rationale: A four-point gait is used when both legs can bear some weight, but one is weaker than the other.

Choice C rationale: A swing-through gait is used when both legs can bear weight, but need assistance with balance and coordination.

Choice D rationale: A two-point gait is used when both legs have equal strength and can bear full weight.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Choice A rationale: Asymmetric facial movement might be associated with damage to other cranial nerves, not specifically cranial nerve III.

Choice B rationale: Uvula deviation is a sign of damage to the glossopharyngeal (IX) and vagus (X) nerves, not cranial nerve III.

Choice C rationale: Anosmia, the loss of sense of smell, is not typically associated with cranial nerve III dysfunction.

Choice D rationale: Damage to cranial nerve III (oculomotor nerve) can lead to ptosis, the drooping of the eyelid.

Correct Answer is A

Explanation

Choice A rationale: The correct answer is 5 units/hour. To calculate the units of insulin per hour, we need to use the following formula: units of insulin per hour = (units of insulin in the bag / volume of the bag) x infusion rate

Plugging in the given values, we get:

units of insulin per hour = (50 / 100) x 10 units of insulin per hour = 0.5 x 10

units of insulin per hour = 5

Therefore, the client is receiving 5 units of insulin every hour.

Choice B rationale: This is incorrect because it assumes that the infusion rate is equal to the units of insulin per hour, which is not true.

Choice C rationale: This is incorrect because it multiplies the units of insulin in the bag by the infusion rate, which is too high.

Choice D rationale: This is incorrect because it adds the units of insulin in the bag and the infusion rate, which is also too high.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register