A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?

A client who is able to bear full weight on both 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.

A client who has bilateral leg braces due to paralysis of the lower extremities.

Answer and Explanation

The Correct Answer is C

A reason: A client who is able to bear full weight on both lower extremities. A client who can bear full weight on both lower extremities does not need to use a three-point gait. This gait is designed for individuals who cannot bear weight on one leg, making this choice incorrect for the given scenario.

B reason: A client who has bilateral knee replacements with partial weight bearing on both legs. A client with bilateral knee replacements and partial weight bearing needs a different type of gait that distributes weight evenly across both legs. The three-point gait is not suitable for this condition, thus making this choice inappropriate.

C reason: A client who has a right femur fracture with no weight bearing on the affected leg. A three-point gait is specifically used for individuals who are unable to bear weight on one leg. This gait involves using crutches and the unaffected leg to form a tripod, which provides stability while moving. Therefore, this option is the correct choice.

D reason: A client who has bilateral leg braces due to paralysis of the lower extremities. A client with bilateral leg braces due to paralysis would require a different gait pattern that accommodates the use of braces and supports for both legs. The three-point gait is not designed for bilateral leg paralysis, making this choice incorrect.

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Correct Answer is C

Explanation

A reason:

The client should hold the cane on the strong side, not the weak side. This provides better support and stability when ambulating.

B reason:

The grip of the cane should be level with the client's wrist crease, not the waist. This ensures proper ergonomic support and reduces the risk of strain or injury.

C reason:

When the client moves, he should move the cane forward first. This provides support and stability before taking a step with the weaker leg.

D reason:

The client should first move the weak leg, not the strong one. The cane and the weak leg should move together to provide support and balance during ambulation.

A. Urinary frequency B. Urinary incontinence C. Urinary retention D. Urinary tract infection

Correct Answer is D

Explanation

A reason:

Urinary frequency refers to the need to urinate more often than usual. While it can be a symptom of a urinary tract infection (UTI), it is not characterized by dark, cloudy urine with an unpleasant odor.

B reason:

Urinary incontinence is the loss of bladder control, which can lead to accidental leakage of urine. It is not directly associated with the described urine characteristics.

C reason:

Urinary retention is the inability to empty the bladder completely. It can lead to distended bladder and discomfort, but it does not typically cause the urine to become dark, cloudy, or foul-smelling.

D reason:

A urinary tract infection is correct. UTIs often cause dark amber, cloudy urine with an unpleasant odor due to the presence of bacteria and white blood cells in the urine.

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A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulation. Which of the following instructions should the nurse give the APs about the clients use of a cane?

Correct Answer is C

Explanation

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

Correct Answer is D

Explanation

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