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.”. .
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale
If a patient with a living will arrived at the emergency department with difficulty breathing, the healthcare team would provide immediate care to ease the patient’s distress, such as administering oxygen.
Choice B rationale
While a living will outlines a patient’s wishes for end-of-life care, it does not prevent the patient from receiving immediate, necessary care in an emergency situation.
Choice C rationale
Inserting a breathing tube may be necessary in some cases, but it would not be the first step in managing difficulty breathing.
Choice D rationale
While the healthcare team would consult the person appointed by the patient’s healthcare proxy to make decisions, immediate care would not be delayed.
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