A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait.
Which of the following instructions should the nurse include?

Bear weight on the unaffected leg.

Keep the crutches at the level of the axillae.

Stand with the crutch tips against the feet.

Hold the arms straight when walking.

Answer and Explanation

The Correct Answer is A

This gait pattern is used when one of the lower extremities is unable to fully bear weight due to fracture, amputation, joint replacement etc12 The client should advance both crutches and the affected leg as one unit, and then bring the unaffected leg forward to the crutches as the second unit

Choice B is wrong because keeping the crutches at the level of the axillae can cause nerve damage and reduce circulation.

The crutches should be positioned with 2 fingers of distance between the axilla and the axilla pad with the elbow flexed between 20-30 degrees

Choice C is wrong because standing with the crutch tips against the feet can cause instability and increase the risk of falling.

The crutch tips should be placed about 15 cm (6 inches) in front of and 15 cm to the side of each foot

Choice D is wrong because holding the arms straight when walking can cause fatigue and strain on the shoulders and wrists.

The client should keep a slight bend in the elbows when walking with crutches

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

The correct answer is choice B: Explain to the client that they cannot leave until the surgeon discharges them.

Choice B rationale: The nurse should explain the importance of following the surgeon's orders and the potential consequences of leaving before being officially discharged. This approach provides patient education and promotes collaboration between the client and the health care team. It also ensures the client understands that leaving without proper discharge could lead to complications or inadequate recovery.

Choice A rationale: Threatening the client with restraints is not an appropriate action, as it may cause undue stress and escalate the situation. Restraints should only be used as a last resort in cases where the client poses an immediate risk of harm to themselves or others.

Choice C rationale: While having the client sign an against medical advice (AMA) form might be appropriate if the client insists on leaving, the nurse should first attempt to educate the client on the importance of following the surgeon's orders and collaborate with the client to resolve any concerns or issues leading to their desire to leave.

Choice D rationale: Administering a sedative medication is not an appropriate action in this situation. Sedation should only be used when medically necessary and not as a means to control a client's behavior or decisions.

A. Devout practitioners of Buddhism prefer a ritual bath prior to burial. B. Devout practitioners of Islam prefer to have their heads turned toward Mecca at death. C. Devout practitioners of Judaism prefer to be buried 5 days after death. D. Devout practitioners of Hinduism prefer to be buried after death and not cremated.

Correct Answer is B

Explanation

The correct answer is choice B. Devout practitioners of Islam prefer to have their heads turned toward Mecca at death.

This is because Mecca is considered the holiest city in Islam and facing it is a sign of respect and devotion.

Choice A is wrong because devout practitioners of Buddhism prefer to be cremated rather than buried.

Cremation is seen as a way of releasing the soul from the body and preparing for rebirth.

Choice C is wrong because devout practitioners of Judaism prefer to be buried as soon as possible after death, usually within 24 hours.

This is based on the biblical commandment to bury the dead quickly and respect their dignity.

Choice D is wrong because devout practitioners of Hinduism prefer to be cremated after death and not buried.

Cremation is believed to help the soul detach from the body and achieve liberation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client’s room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly hired nurse about cultural sensitivity during death and dying. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A nurse is planning to place a client into the Sims’ position. Which of the following actions should the nurse plan to take?

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

While performing hygiene care for a client, a nurse notices a frayed electrical cord on the client’s electronic blood pressure monitor. Which of the following actions should the nurse take first?

A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse take first?

A nurse is caring for a client who is 2 days postoperative following a below-theknee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait.
Which of the following instructions should the nurse include?