What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?
To avoid putting pressure on the client's stronger leg
To ensure proper positioning of the hands on the walker
To provide support for the client's weight while moving their weaker leg
To maintain the client's center of gravity close to the body
The Correct Answer is C
A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This statement pertains to the client's current state but does not represent an intervention taken by the nurse. It would be more appropriate for documentation in a narrative or assessment section rather than the intervention component.
B. This entry describes an outcome or finding related to the client’s condition rather than an intervention. While it is important data, it does not reflect an action taken by the nurse and thus would not be included in the intervention section.
C. It clearly describes a specific action taken by the nurse (administering medication) in response to the problem (nausea and vomiting). It directly addresses the client's needs and reflects an intervention aimed at treating the identified problem.
D. This statement indicates the problem or symptom that the client is experiencing but does not describe an intervention. While it is critical information for understanding the client’s condition, it belongs in the problem or assessment section rather than the intervention component.
Correct Answer is A
Explanation
A. As people age, the glands in the ear may produce more cerumen (earwax), and the ear canal may also become narrower, leading to a buildup of wax. This can affect hearing and may require regular cleaning by a healthcare professional.
B. With aging, peripheral vision often decreases due to changes in the retina and other parts of the eye. Older adults may experience difficulties in peripheral awareness, making it harder to detect objects or movements outside their central line of sight.
C. As people age, they may experience decreased sensitivity to touch due to changes in nerve endings and skin elasticity. Many older adults report a reduced sense of touch, which can affect balance and coordination.
D. In fact, older adults typically experience decreased pupil size and a reduced response to changes in light. The pupils may become more fixed and less able to dilate quickly in response to dim light.
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