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 A
Explanation
A reason:
Notifying the surgeon that the client wishes to withdraw informed consent for the procedure is correct. The client's autonomy and right to refuse treatment must be respected, and the surgeon should be informed to discuss the client's concerns and possible alternatives.
B reason:
Proceeding with preparation for the surgical procedure without addressing the client's withdrawal of consent violates ethical and legal standards. The client's decision must be honored.
C reason:
Reminding the client that a signed informed consent form is legally binding is incorrect. Informed consent can be withdrawn at any time, and the client's right to change their mind must be respected.
D reason:
Informing the surgical team to cancel the surgery is not the nurse's decision alone. The nurse should first notify the surgeon to ensure that all necessary discussions and documentation occur.
Correct Answer is C
Explanation
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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