A nurse is providing discharge instructions to a client about proper use of a cane for maximum support. Which of the following statements by the client indicates an understanding of the teaching?
"I will hold my cane on my stronger side."
"I should hold my cane 12 inches from my side."
"I will keep my elbow flexed at a 90-degree angle while moving my cane."
"I should move my weaker leg before moving my cane."
The Correct Answer is A
A. "I will hold my cane on my stronger side." The cane should be held on the stronger (unaffected) side to provide better support and stability while allowing the weaker leg to move more freely.
B. "I should hold my cane 12 inches from my side." The cane should be positioned about 6–10 inches to the side of the foot to ensure proper balance and support.
C. "I will keep my elbow flexed at a 90-degree angle while moving my cane." The elbow should be flexed at about 15–30 degrees, not 90 degrees, to maintain comfort and proper control of the cane.
D. "I should move my weaker leg before moving my cane." The correct sequence is to move the cane first, then move the weaker leg forward, followed by the stronger leg, which provides better stability and reduces fall risk.
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Related Questions
Correct Answer is D
Explanation
A. "A narrow base of support is recommended for effective lifting." A wide base of support provides more stability and balance, reducing the risk of injury.
B. "Make sure to bend at the waist when lifting objects more than 30 pounds." Bending at the knees, not the waist, helps maintain a neutral spine and prevents back strain.
C. "Use a twisting motion when moving objects to prevent back strain." Twisting while lifting can cause spinal injuries; instead, move the entire body by pivoting the feet.
D. "Stand close to a heavy object before attempting to lift it." Standing close to the object reduces strain on the back and improves control during lifting.
Correct Answer is A
Explanation
A. Request a referral for an occupational therapist. An occupational therapist (OT) can help the client maintain independence by teaching adaptive techniques and providing assistive devices for ADLs, such as dressing, bathing, and eating.
B. Request a home health aide to perform the client's ADLs for them. While a home health aide can assist with ADLs, the goal is to promote independence, not to have someone do everything for the client.
C. Instruct family members to place the client in a nursing home. Placement in a nursing home is a complex decision based on multiple factors. The nurse should focus on interventions to support the client at home before considering long-term care.
D. Contact the client's pharmacy to change their medication doses. Nurses do not have the authority to change medication doses. Medication adjustments should be discussed with the prescribing provider if needed.
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