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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Critical pathways are designed to standardize care processes, which can lead to improved efficiency, reduced length of stay, and better patient outcomes, all of which can contribute to lower healthcare costs. This is a key reason why critical pathways are used.
B. Critical pathways are typically developed by interdisciplinary teams or healthcare organizations rather than by individual providers. They are standardized plans that guide the care of groups of patients with similar conditions, rather than tailored to individual patient needs.
C. They do not need to be followed in a strict order; adjustments may be necessary based on the
patient’s response to treatment. This option oversimplifies the use of critical pathways.
D. Critical pathways primarily focus on the management of specific clinical conditions and patient care processes rather than broader health promotion activities. While they can contribute to overall care quality, their main purpose is not to guide health promotion.

A. Vital sign measurement B. Nature of invasiveness of the surgical procedure C. Visual observation for nonverbal signs of pain D. Client's self-report of pain

Correct Answer is D

Explanation

A. While changes in vital signs, such as increased heart rate and blood pressure, may indicate pain, they are not specific to pain and can be influenced by other factors.
B. The type of surgery can provide some clues about the potential for pain, but it does not accurately reflect the individual's pain experience.
C. Nonverbal cues like grimacing, guarding, or restlessness can suggest pain, but they are not always reliable indicators. Some clients may not exhibit obvious signs of pain, even if they are experiencing significant discomfort.
D. This is the most reliable source of information about a client's pain intensity. Only the client can accurately describe their own pain experience, including its location, severity, and quality.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

Correct Answer is D

Explanation

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

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