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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Locks the hydraulic valve before attaching the sling to the lift
The hydraulic valve must be unlocked to adjust height and should only be locked after the client is securely attached and raised. Locking it before attaching the sling may indicate improper procedure or reduced safety during lifting.
B. Leaves the bed in the lowest position throughout the procedure
Leaving the bed low can be safe depending on facility protocol and prevents injury if the client or staff lose balance.
C. Raises the head of the bed to a sitting position just before the transfer
Elevating the head of the bed helps the client into a functional sitting position, making sling placement and transfer easier and safer.
D. Places a removable cover over the sling
A removable cover can enhance comfort and hygiene, especially if the sling is shared.
Correct Answer is A
Explanation
A. Abduction:
Abduction refers to movement of a limb away from the midline of the body, such as raising the arm from the side outward and upward.
B. External rotation:
This refers to rotating a limb outward along its axis, not raising the arm overhead.
C. Internal rotation:
This refers to rotating the limb inward, which is not the action of lifting the arm above the head.
D. Adduction:
Adduction refers to moving a limb toward the midline, the opposite of abduction.
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