The nurse is educating a patient about the use of a cane due to weakness of the left leg.
Which statement by the patient would indicate teaching has been effective?
"I know the cane helps narrow my base of support and improve my balance.”.
"I will assure the tip of the cane is at least 12 inches to the side of the foot.”.
"I am going to adjust the cane so my wrist is lower than the top of the cane.”.
"I will ambulate by advancing first my cane then my weak leg and lastly my strong leg.”.
The Correct Answer is A
Choice A rationale:
This statement indicates effective teaching. Narrowing the base of support and improving balance are key aspects of using a cane properly. A patient who understands this concept demonstrates comprehension of the teaching.
Choice B rationale:
Placing the tip of the cane at least 12 inches to the side of the foot is incorrect. The cane should be placed about 6 inches to the side of the foot for proper support and balance.
Choice C rationale:
Adjusting the cane so the wrist is lower than the top of the cane is incorrect. The top of the cane should be at the level of the wrist for optimal use.
Choice D rationale:
Advancing the cane first, followed by the weak leg and then the strong leg, is incorrect. The correct sequence is advancing the cane and the weak leg simultaneously and then followed by the strong leg to maintain balance and support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is C
Explanation
Choice A rationale:
Extension refers to the straightening of a joint and is the opposite of flexion. It is not the correct term for the described hand movement.
Choice B rationale:
Abduction is the movement of a body part away from the midline of the body. It does not describe the specific movement of the patient's hand toward the inner aspect of the forearm.
Choice C rationale:
Flexion is the bending of a joint, decreasing the angle between two body parts. When the nurse moves the patient's hand toward the inner aspect of the forearm, it is a flexion movement of the wrist.
Choice D rationale:
Adduction is the movement of a body part toward the midline of the body. It is not the correct term for the described hand movement.
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