A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?

The client places one crutch on each side when assuming a sitting position.

The client places weight on the axillae when walking.

The client moves the unaffected leg onto a step first when descending stairs.

The client has slightly flexed elbows when ambulating with crutches.

Answer and Explanation

The Correct Answer is D

A) Placing one crutch on each side when assuming a sitting position is not indicative of safe crutch use as it does not provide adequate support or balance during the transition from standing to sitting.
B) Placing weight on the axillae, or underarms, can cause nerve damage due to the pressure on the radial nerve located there; therefore, this is not a safe practice.
C) When descending stairs, the affected leg should be moved first, followed by the crutches and then the unaffected leg, to maintain balance and safety. Therefore, moving the unaffected leg onto a step first is not the safest option.
D) Having slightly flexed elbows allows for proper distribution of weight and helps in maintaining balance while ambulating with crutches, making it the correct and safe method.

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Correct Answer is C

Explanation

A. Vest restraints are not appropriate for seizure precautions. Restraints are generally not recommended as the primary intervention for seizure management.
B. The use of tongue blades during a seizure is not recommended and could pose a risk of injury.
C. Oxygen setup is crucial for managing a client during and after a seizure to ensure proper oxygenation.
D. Neck brace is not necessary for seizure precautions and may pose a risk during a seizure episode.

A. Palpate the abdomen. B. Auscultate bowel sounds. C. Offer pain medication. D. Administer an antibiotic.

Correct Answer is B

Explanation

A. Palpating the abdomen may exacerbate pain or cause discomfort, and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step.
B. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus, which can contribute to the client's symptoms.
C. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms.
D. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.

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A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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