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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A reason:
Holding the hands higher than the elbows is incorrect. Hands should be held lower than the elbows during washing to allow water to flow from the cleanest to the dirtiest area and prevent recontamination.
B reason:
Rubbing hands and arms to dry is incorrect. Hands should be dried using a clean towel or air dryer. Rubbing can reintroduce bacteria and is not recommended.
C reason:
Adjusting the water temperature to feel hot is incorrect. Water should be warm, not hot, to avoid skin irritation and ensure effective hand hygiene.
D reason:
Applying 4 to 5 ml of liquid soap to the hands is correct. Using an adequate amount of soap ensures thorough cleaning and removal of germs and contaminants during hand washing.
Correct Answer is A
Explanation
A reason:
Storing oxygen tanks upright is correct. This prevents them from tipping over and ensures the safety of the oxygen supply. Proper storage minimizes the risk of accidents and maintains the integrity of the oxygen tanks.
B reason:
Keeping oxygen tanks 4 feet away from an electric stove is not sufficient. Oxygen tanks should be kept away from all heat sources and open flames, as oxygen can support combustion and increase the risk of fire.
C reason:
Choosing a wool blanket is incorrect. Wool can generate static electricity, which poses a fire hazard when using oxygen. Cotton or other non-static generating materials are safer options for blankets when using home oxygen therapy.
D reason:
Using petroleum-based ointments to moisturize lips is dangerous. Petroleum products are flammable and should not be used with oxygen therapy. Water-based or non-flammable moisturizers should be used instead.
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