Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

the pads should be 1/2 to 2 inches (1.3cm to 5cm) below the axilla.

when walking, the patient will need to straighten the elbow and the wrist during weight bearing

resting the body's weight on the axillary bar does not put pressure on vital nerves which can occlude blood vessels in the axilla causing permanent or temporary damage.

they will need to be adjusted in both overall length and from the axillary bar to the handgrip

Answer and Explanation

The Correct Answer is D

A. The pads should be 1/2 to 2 inches (1.3cm to 5cm) below the axilla

This is true and helps avoid pressure on the axilla and nerves.

B. When walking, the patient will need to straighten the elbow and the wrist during weight bearing

Elbows should be slightly flexed (~15–30 degrees); straightening the elbow and wrist fully can cause injury and reduce control.

C. Resting the body's weight on the axillary bar does not put pressure on vital nerves which can occlude blood vessels in the axilla causing permanent or temporary damage

Resting on the axillary bar can compress the brachial plexus and axillary vessels, causing nerve damage or paralysis.

D. They will need to be adjusted in both overall length and from the axillary bar to the handgrip

Proper crutch fitting includes adjusting both the overall length and the handgrip height.

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Correct Answer is A

Explanation

A. Dry and dirty

Skin under a cast is typically dry, flaky, and appears dirty due to the accumulation of dead skin cells and lack of exposure to air and water.

B. Moist and pink

Moist and pink skin suggests healthy, well-hydrated tissue, which is not typical after cast removal.

C. Moist and white

Moist and white skin may indicate maceration, which can occur under wet dressings, not a dry cast.

D. Dry and greenish

Green discoloration is not a normal finding and may suggest infection, which is not expected under a dry cast unless there were complications.

A. Move overbed tables away from the bed. B. Instruct the clients to use the call light. C. Perform client checks every 4 hr. D. Keep the clients' rooms dark. E. Place a fall risk wristband on each of the clients.

Correct Answer is ["B","E"]

Explanation

A. Move overbed tables away from the bed

Overbed tables should be kept within reach so clients don’t overextend or stand unsafely to access them.

B. Instruct the clients to use the call light

Reinforcing use of the call light promotes help-seeking before unsafe mobility attempts.

C. Perform client checks every 4 hr

High-risk clients should be checked more frequently, typically every hour or two, especially overnight.

D. Keep the clients' rooms dark

Poor lighting increases fall risk. A night light should be used.

E. Place a fall risk wristband on each of the clients

Fall risk wristbands alert staff and ensure precautions are taken consistently.

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Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

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A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

Correct Answer is A

Explanation

A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

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