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A nurse is instructing a client whose left leg is in a cast on how to use crutches. Which statement from the client indicates they have understood the instructions?

“When descending stairs, I will first shift my weight to my right leg.”.

“I should place my crutches 12 inches in front and to the side of each foot.”.

“As I sit down, I will hold one crutch in each hand.”.

“I will make sure the shoulder rests are snug against my body.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale

When descending stairs, the crutches and the injured leg should go down first, followed by the good leg31415.

Choice B rationale

Placing crutches 12 inches in front and to the side of each foot is a correct method for using crutches. This provides stability and balance while walking31415.

Choice C rationale

When sitting down, it’s recommended to hold both crutches in one hand on the same side as the injured leg. This allows the other hand to be free to reach for the chair31415.

Choice D rationale

The shoulder rests, or pads, should not be snug against the body. There should be a space of about 1-2 inches between the top of the crutch and the armpit31415.

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Correct Answer is C

Explanation

Choice A rationale

A cup of soup is typically 240 mL, so 2 cups would be 480 mL, which is more than 120 mL1.

Choice B rationale

A quart is a unit of volume equal to 946 mL, which is significantly more than 120 mL1.

Choice C rationale

8 oz of ice chips is approximately equivalent to 120 mL2. This is because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL2.

Choice D rationale

6 oz is approximately 177 mL, which is more than 120 mL2.

A. Ask another nurse to observe the medication wastage. B. Notify the pharmacy when wasting the medication. C. Lock the remaining medication in the controlled substances cabinet. D. Dispose of the vial with the remaining medication in a sharps container.

Correct Answer is A

Explanation

Choice A rationale

After drawing up the medication, the nurse should ask another nurse to observe the medication wastage. This is a standard procedure for controlled substances like opioids. The second nurse acts as a witness to ensure that the unused portion of the medication is disposed of properly and not diverted for inappropriate use.

Choice B rationale

Notifying the pharmacy when wasting the medication is not the immediate next step after drawing up the medication. While some institutions may require notification of the pharmacy for controlled substance wastage, the immediate next step is typically to have another nurse witness the wastage.

Choice C rationale

Locking the remaining medication in the controlled substances cabinet is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.

Choice D rationale

Disposing of the vial with the remaining medication in a sharps container is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.

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A nurse is instructing a client whose left leg is in a cast on how to use crutches. Which statement from the client indicates they have understood the instructions?

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