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A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

Take off the rubber tips of the crutches while using stairs.

Bring the good leg up first when going up stairs.

Move the good leg and the crutches together.

Rest the axillae on the axillary bar of the crutch.

Answer and Explanation

The Correct Answer is B

A. Take off the rubber tips of the crutches while using stairs.

Rubber tips provide traction and prevent slipping; they must remain in place.

B. Bring the good leg up first when going up stairs.

The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.

C. Move the good leg and the crutches together.

Crutches move with the affected (bad) leg, not the good one.

D. Rest the axillae on the axillary bar of the crutch.

This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.

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Correct Answer is A

Explanation

A. Hold the crutches on your unaffected side when preparing to sit in a chair

This helps maintain balance and control while transitioning from standing to sitting.

B. Hold the crutches 9 inches in front and to the side of each foot

The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.

C. Lean on the crutches to support your body weight when standing

Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).

D. Fully extend your arms when holding onto the hand grips

The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.

A. "I have a set of my brother's crutches in my basement that I can also use." B. "I will keep spare crutch tips handy." C. "I will bear the weight of my body on my hands." D. "I will inspect my crutches every day for signs of wear."

Correct Answer is A

Explanation

A. "I have a set of my brother's crutches in my basement that I can also use.

Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.

B. "I will keep spare crutch tips handy."

Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.

C. "I will bear the weight of my body on my hands."

Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).

D. "I will inspect my crutches every day for signs of wear."

Daily inspection of crutch tips and padding helps ensure safety and durability.

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A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

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