Following a fractured left tibia, which necessitated placement of long leg cast, a client is using crutches to ambulate. During an orthopedic follow-up visit, a client reports to the nurse having difficulty managing the crutches. Which assessment should the nurse perform?

Measure capillary refill time.

Palpate for dependent edema.

Determine degree of skin elasticity.

Note hand and forearm strength.

Answer and Explanation

The Correct Answer is D

A.   Capillary refill time assessment is more relevant for circulatory status and would not directly address the client's difficulty with crutch management.
B.   Palpating for dependent edema would not provide information directly related to the client's ability to use crutches.

C.   Assessing skin elasticity is not directly related to the client's ability to manage crutches.
D.   Strength in the hands and forearms is essential for proper crutch use, as these muscles bear much of the weight while ambulating with crutches.

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Correct Answer is D

Explanation

A. Background music may be distracting rather than helpful during teaching.

B. Adequate lighting is crucial for older adults to clearly see and read instructional materials. However, overhead lights may be distracting and disorienting for an older adult.
C. Standing behind the client might actually increase feelings of intimidation or discomfort. It's better to face the client to facilitate communication.
D. Providing handouts written at a 12th grade reading level ensures that the information is accessible and understandable for the majority of adults.

A. Events requiring steroid dose adjustments. B. Need to check temperature daily. C. Importance of recording daily weights. D. Adherence to a high fiber, low fat diet.

Correct Answer is A

Explanation

A. Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B. Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C. While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.

D. Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.

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Following a fractured left tibia, which necessitated placement of long leg cast, a client is using crutches to ambulate. During an orthopedic follow-up visit, a client reports to the nurse having difficulty managing the crutches. Which assessment should the nurse perform?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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