A nurse is assessing a patient’s ability to use a walking cane.
Which of the following observations would indicate that the patient is using the cane correctly?
The top of the cane is parallel to the patient’s waist.
The patient advances the cane 46 cm (18 in) forward while walking.
The patient holds the cane on the side of their body that is stronger.
The patient moves their stronger leg forward along with the cane.
The Correct Answer is C
Choice A rationale
While the top of the cane should be parallel to the client’s greater trochanter, this alone does not indicate correct use of the cane.
Choice B rationale
Advancing the cane 46 cm (18 in) forward while walking is too far. To maintain balance, the client should advance the cane about 15-30 cm (6-12 in) at a time.
Choice C rationale
The client should hold the cane on the stronger side of their body to increase support and maintain alignment. This is an indication of correct use.
Choice D rationale
The client should move their weaker leg forward with the cane. This divides the client’s body weight between the cane and the stronger leg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Using an extension cord to watch television in the living room does not indicate effective learning about using a walker. Extension cords can create a tripping hazard, which is particularly dangerous for someone using a walker.
Choice B rationale
Hiring someone to trim the tree that overhangs the front porch stairs indicates an understanding of the need to remove potential obstacles that could interfere with the safe use of the walker.
Choice C rationale
Placing the alarm clock on the bedroom dresser does not demonstrate an understanding of how to use a walker safely. It does not address any of the key safety considerations associated with walker use.
Choice D rationale
Replacing the old throw rug in the kitchen with a new one does not necessarily indicate effective learning about using a walker. Throw rugs can be a tripping hazard for individuals using a walker, regardless of whether they are old or new.
Correct Answer is A
Explanation
Choice A rationale
The first action the nurse should take when finding a patient on the floor is to check the patient for injuries. This is important to determine the extent of any potential harm and to guide subsequent actions.
Choice B rationale
Moving hazardous objects away from the patient is important, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.
Choice C rationale
Notifying the provider is an important step when a patient falls, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.
Choice D rationale
Asking the patient to describe how they felt prior to the fall is part of the assessment after a fall, but it is not the first action the nurse should take. The nurse should first assess the patient for injuries.
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