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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 D

Explanation

A. Determining the client's mobility

Important for safety and fall prevention, but not the first priority during care planning.

B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel

This is part of orientation and education but does not help in personalized care planning.

C. Introducing health care team members to the client

While courteous and important for building rapport, it’s not the first step in individualized care planning.

D. Understanding the client's routine for his own care at home

This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.

A. False B. Maybe C. Perhaps D. True E. True

Correct Answer is A

Explanation

A. False

A GI assessment should be done daily, especially in post-op clients or those on narcotics, which can slow bowel motility.

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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 caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?

Correct Answer is D

Explanation

Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

Correct Answer is A

Explanation

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