A nurse is reinforcing teaching with a client about crutch walking using the swing-through gait. Which of the following statements should the nurse include?
"Move both crutches forward, then lift and move your body past the crutches."
"Bear your weight against the underarm crutch pads."
"Place one crutch forward with the opposite foot and then place the second crutch forward with the other foot."
"Look down at your feet before moving the crutches."
The Correct Answer is A
A. In the swing-through gait, the client moves both crutches forward together, then swings both legs past the crutches—this is correct teaching.
B. Weight should never be borne on the underarm pads because it can cause nerve damage (brachial plexus injury); weight should be supported by the hands on the handgrips.
C. This describes the two-point gait, not the swing-through gait.
D. Clients should look ahead, not down at their feet, to maintain balance and prevent falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cool toes indicate impaired circulation, but this usually occurs after edema develops.
B. Edema of the toes is often the first sign that a cast is too tight, as swelling occurs distal to the cast and may progress to compromise circulation and nerve function.
C. Inability to move toes is a later sign indicating severe neurovascular compromise.
D. Pallor also indicates compromised circulation, which occurs after swelling has already begun.
Correct Answer is D
Explanation
A. Dantrolene is not safe during pregnancy; clients should avoid use if pregnant or planning pregnancy.
B. Dantrolene is taken regularly, not just when spasms occur, to reduce muscle spasticity.
C. Calcium levels do not need monitoring; instead, liver function tests should be monitored due to the risk of hepatotoxicity.
D. The client should notify the provider if there is no improvement within 45 days to 3 months, as this may indicate the medication is ineffective.
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