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A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

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

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

Lean on the crutches to support your body weight when standing

Fully extend your arms when holding onto the hand grips

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

A. Kyphosis

Kyphosis refers to an exaggerated forward curvature of the thoracic spine, common in osteoporosis and aging.

B. Scoliosis

Scoliosis is a lateral (side-to-side) curvature of the spine.

C. Lordosis

Lordosis is an inward (anterior) curvature of the lumbar spine.

D. Ankylosis

Ankylosis is joint stiffness or fixation, often due to chronic inflammation or fusion.

A. Turn their foot and leg away from their other leg B. Move their left forward and up C. Move their leg medially toward their other leg D. Move their leg behind their body

Correct Answer is D

Explanation

A. Turn their foot and leg away from their other leg

This movement is called external rotation, not hyperextension.

B. Move their leg forward and up

This action is flexion of the hip.

C. Move their leg medially toward their other leg

This describes adduction, moving the limb toward the body's midline.

D. Move their leg behind their body

Hyperextension of the hip involves moving the leg backward beyond the normal range of extension.

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A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?

Correct Answer is A

Explanation

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Correct Answer is D

Explanation

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