A nurse should reinforce teaching about how to use a three-point gait for which of the following clients requiring crutches?
A client who is able to bear full weight on both lower extremities
A client who has bilateral leg braces due to paralysis of the lower extremities
A client who has bilateral knee replacements with partial weight bearing on both legs
A client who has a right femur fracture with no weight bearing on the affected leg
The Correct Answer is D
A. A client who can bear full weight on both legs does not require a three-point gait; a normal or two-point gait is sufficient.
B. A client with bilateral lower extremity paralysis cannot use crutches effectively and would require a wheelchair or other mobility device.
C. Partial weight-bearing on both legs requires a modified gait, not a standard three-point gait.
D. A three-point gait is appropriate for a client who is non–weight bearing on one leg, allowing the client to advance both crutches and the unaffected leg together while keeping weight off the injured leg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Placing the client in a rigid cervical collar is important but not the first priority when the client is not breathing.
B. Evaluating for injuries can only occur after establishing an airway and ensuring breathing.
C. Performing a neurological check is not the priority when the client has no respirations.
D. The jaw-thrust maneuver is the correct first action to open the airway in a trauma client with a suspected cervical spine injury, as it avoids head tilting and prevents further spinal damage.
Correct Answer is ["A","B","D"]
Explanation
A. Aging is a major risk factor because cartilage naturally wears down over time.
B. Obesity increases mechanical stress on weight-bearing joints, accelerating cartilage breakdown.
C. Regular, strenuous exercise does not directly cause osteoarthritis; moderate exercise actually helps protect joints.
D. A family history of osteoarthritis increases genetic susceptibility to the disease.
E. Calcium deficiency is associated with osteoporosis, not osteoarthritis.
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