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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. maintaining strength in muscles.
This is a benefit of ROM exercises, but it does not directly explain how venous return improves.
B. compression of muscles on venous walls.
Muscle contraction compresses veins, helping to push blood back toward the heart, improving venous return.
C. vasodilation.
Vasodilation increases blood flow, but doesn’t directly enhance venous return in the context of ROM.
D. increased metabolism.
Increased metabolism is a systemic benefit of exercise but is not the primary mechanism of improved venous circulation.
Correct Answer is B
Explanation
A. Cover the pin with several gauze pads and tape securely:
This may trap moisture and increase infection risk. Pin sites need to be monitored and cleaned regularly.
B. Assure the patient that such drainage is expected:
Serous drainage is a normal finding after pin insertion. Reassurance is appropriate unless signs of infection are present.
C. Notify the charge nurse of possible infection:
This may be premature without signs of infection (e.g., purulent drainage, redness, fever).
D. Wipe off drainage with a damp wash cloth:
This is not a sterile technique and may introduce infection. Pin site care should follow sterile protocol.
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