A patient is learning to use the three-point gait with crutches. Which action indicates they have mastered this technique?

They advance both crutches forward, then the unaffected leg

They keep the affected leg slightly touching the ground for balance

They alternate weight between both feet and crutches.

They lean forward while advancing the affected leg

Answer and Explanation

The Correct Answer is A

A. They advance both crutches forward, then the unaffected leg: The three-point gait requires moving both crutches simultaneously followed by the unaffected leg, keeping the affected leg non-weight-bearing. Correct execution of this sequence demonstrates proper mastery and safe mobility with crutches.

B. They keep the affected leg slightly touching the ground for balance: Allowing the affected leg to bear weight defeats the purpose of the non-weight-bearing technique and can increase the risk of injury. Proper three-point gait keeps the affected leg off the ground entirely.

C. They alternate weight between both feet and crutches: Alternating weight between both feet and crutches describes a two-point or four-point gait, not the three-point gait. This indicates a misunderstanding of the prescribed technique.

D. They lean forward while advancing the affected leg: Leaning forward while moving the affected leg can cause instability and falls. Proper technique requires keeping the trunk upright and weight supported through the crutches.

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Correct Answer is D

Explanation

A. To identify areas of tenderness before applying pressure: Palpation, not auscultation, is used to determine tenderness. Listening first does not help identify painful areas, so this does not explain the correct sequence of abdominal assessment.

B. To ensure the patient is relaxed and comfortable: Relaxation and comfort are important throughout the exam, but they are not the reason auscultation precedes palpation. Positioning and communication achieve comfort, not the sequence of techniques.

C. To detect abdominal bruits before they become inaudible: Abdominal bruits can be auscultated at any time and are not affected by palpation. Detecting bruits is important, but it does not explain why auscultation is performed before palpation.

D. To prevent altering bowel sounds by stimulating peristalsis: Palpation and percussion can stimulate bowel activity and change the frequency or intensity of bowel sounds. Therefore, auscultation is done first to obtain accurate baseline data before manipulation of the abdomen.

A. "I will take the medicine every morning on an empty stomach." B. " I will only need to take this medication for a few days." C. "I will spit the medication out after swishing it around my mouth." D. "I will store the medication at room temperature."

Correct Answer is D

Explanation

A. "I will take the medicine every morning on an empty stomach.": Nystatin suspension is not dependent on an empty stomach for effectiveness. The key is to ensure contact with oral mucosa by swishing before swallowing, not timing it with meals.

B. "I will only need to take this medication for a few days.": Treatment with nystatin usually lasts at least 7 to 14 days, and it must be continued for the full prescribed course even if symptoms improve early to prevent recurrence.

C. "I will spit the medication out after swishing it around my mouth.": The medication should be swished thoroughly in the mouth and then swallowed, allowing it to treat both oral and pharyngeal yeast infections. Spitting it out reduces its therapeutic effect.

D. "I will store the medication at room temperature.": Nystatin oral suspension should be stored at room temperature away from direct light and freezing. This preserves its stability and effectiveness, making this the correct statement.

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A patient is learning to use the three-point gait with crutches. Which action indicates they have mastered this technique?

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Naxlex Comprehensive Predictor Exams

During an abdominal assessment, why is auscultation performed before palpation?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

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A nurse is documenting information in a computerized health record. Which of the following nursing actions jeopardizes client confidentiality?

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A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?

A nurse is caring for a client. Exhibits The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?

When instructing a client on using the three-point gait with crutches, which of the following steps should be emphasized to ensure correct usage and safety? (Select all that apply)