A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?

The client stands in a tripod position prior to walking.

The client keeps the elbows in a flexed position.

The client pushes downward on the handgrips.

The client places partial weight on the affected leg.

Answer and Explanation

The Correct Answer is D

A. Standing in a tripod position prior to walking with crutches is a correct stance to maintain balance and stability.
B. Keeping the elbows flexed helps absorb shock during ambulation and is appropriate when using crutches.
C. Pushing downward on the handgrips is necessary to generate upward force and support while using crutches.
D. Placing partial weight on the affected leg while ambulating with crutches using a three-point gait is incorrect and can jeopardize safety by potentially causing injury or instability.

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Correct Answer is B

Explanation

A. Metabolic alkalosis is characterized by an elevated HCO3 and pH.
B. Metabolic acidosis is indicated by a low HCO3 (18 mEq/L) and a low pH (7.30). The low PaCO2 is a compensatory response.
C. Respiratory acidosis is indicated by an elevated PaCO2 and a low pH.
D. Respiratory alkalosis is indicated by a low PaCO2 and an elevated pH.

A. Remove the nasal cannula while the client eats. B. Attach a humidifier bottle to the base of the flow meter. C. Apply petroleum jelly to the nares as needed to soothe mucous membranes. D. Secure the oxygen tubing to the bed sheet near the client's head.

Correct Answer is B

Explanation

Rationale:

A. Removing the nasal cannula while the client eats can interrupt oxygen therapy.

B. Attaching a humidifier bottle to the base of the flow meter helps to humidify the oxygen, preventing dryness and irritation of the nasal passages, which is appropriate for oxygen flow rates above 4 L/min.

C. Applying petroleum jelly to the nares can pose a fire hazard due to its petroleum base.

D. Securing the oxygen tubing to the bed sheet is not necessary and does not ensure the proper administration of oxygen.

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A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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