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In a 3-point gait pattern, what is the sequence of movement?

A.

One crutch and the opposite leg move simultaneous, followed by the other crutch and leg

B.

Advancing one crutch at a time, followed by each leg separately

C.

Both crutches and the affected leg move forward, then the unaffected leg advances

D.

Both crutches move forward, followed by a hop with both legs.

Answer and Explanation

The Correct Answer is C

A. One crutch and the opposite leg move simultaneously, followed by the other crutch and leg: This describes a 4-point gait, where each crutch and leg move in sequence for maximum stability. It is not the correct sequence for a 3-point gait pattern.

B. Advancing one crutch at a time, followed by each leg separately: This is also consistent with a 4-point gait because it emphasizes alternating movement between crutches and legs, rather than moving both crutches together.

C. Both crutches and the affected leg move forward, then the unaffected leg advances: This is the correct 3-point gait pattern. It allows the client to bear weight on the unaffected leg while moving the crutches and injured leg together, maintaining balance and mobility.

D. Both crutches move forward, followed by a hop with both legs: This describes the swing-to or swing-through gait, often used by clients with paralysis or severe bilateral lower extremity weakness.


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Related Questions

Correct Answer is D

Explanation

A. Ensure the crutch pads rest directly under the axilla: Crutch pads should be positioned 1–2 inches below the axilla to prevent pressure on the nerves and blood vessels in the armpit, which could cause injury.

B. Ensure the patient can bear weight on both legs: A three-point gait is specifically used when one leg is non-weight-bearing, so requiring weight-bearing on both legs is inappropriate.

C. Position the crutches so they are 6 inches behind the feet: Crutches should be placed slightly in front and to the side of the feet, not behind, to provide proper balance and prevent falls.

D. Adjust the hand grips so the elbows are flexed at 20 to 30 degrees: Proper hand grip adjustment allows the patient to support weight through the hands rather than the axilla, reducing the risk of nerve injury. Correct elbow flexion also ensures optimal leverage and stability while using a three-point gait, promoting safe and effective ambulation.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

Rationale:

  • Ignoring cuff pressure during feeding: Failure to monitor cuff pressure can increase the risk of aspiration or injury to the trachea if the cuff is underinflated or overinflated. Maintaining appropriate cuff pressure is critical for airway protection in clients with feeding tubes.
  • Checking tube placement before each feeding: Verifying placement reduces the risk of feeding into the lungs, preventing aspiration and ensuring proper nutrition delivery.
  • Head of bed elevation at 30 degrees: Maintaining the head of the bed elevated decreases the likelihood of reflux and aspiration, which is essential for enteral feeding safety.
  • Monitoring for signs of aspiration: Observing for coughing, choking, or changes in respiratory status allows early intervention to prevent respiratory complications during tube feeding.

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