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
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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Related Questions
Correct Answer is B
Explanation
A. Speeding the drying with a hair dryer:
This is not recommended as it can cause uneven drying and burns. Plaster casts must dry naturally.
B. Elevating the leg on one to two pillows:
Elevation promotes venous return and reduces swelling in the affected extremity.
C. Petaling the edges of the cast:
Petaling helps prevent skin breakdown from rough cast edges but does not affect edema.
D. Placing the patient in high Fowler's position:
This position benefits respiratory function but does not aid in reducing lower extremity edema.
Correct Answer is D
Explanation
A. 35
35 pounds is too much for skin traction. That much weight can damage the skin and soft tissues.
B. 25
While closer, 25 pounds is above the recommended limit for skin traction. Excessive weight may lead to skin breakdown.
C. 15
Though this might be used occasionally, it’s still considered on the higher side and usually reserved for very short-term use.
D. 5
The recommended weight for skin traction is 5–7 pounds, because the skin and soft tissues cannot tolerate heavier loads.
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