When instructing a client on the proper use of a cane, which step is essential to ensure stability and safety?
Use the cane on the same side as the injured or weaker leg.
Move the cane and the stronger leg forward together.
Adjust the cane height so the handle is above the waist level.
Hold the cane on the side opposite the injured or weaker leg.
The Correct Answer is D
A. Use the cane on the same side as the injured or weaker leg: This approach is incorrect. The cane should be used on the opposite side of the weaker leg to provide better support and balance during ambulation. Using the cane on the same side would not provide adequate stability and could increase the risk of falling.
B. Move the cane and the stronger leg forward together: This step is not recommended. The proper technique involves moving the cane first, followed by the weaker leg, and then bringing the stronger leg forward. This sequence helps maintain stability and balance while walking.
C. Adjust the cane height so the handle is above the waist level: The cane should be adjusted so that the handle is at the level of the wrist when the client is standing upright, which allows for proper elbow flexion while using the cane. If the handle is too high, it can lead to poor posture and increased strain.
D. Hold the cane on the side opposite the injured or weaker leg: This is the essential step for ensuring stability and safety when using a cane. By holding the cane on the opposite side, the client can use the cane for support while stepping forward with the weaker leg, enhancing balance and reducing the risk of falls. This technique allows for better weight distribution and improved mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I should get a longer cord for my telephone.": Longer cords can create tripping hazards, increasing the risk of falls. It is safer to use shorter cords or secure them properly to minimize risks. Keeping cords neatly organized and out of walkways is essential for maintaining a safe environment.
B. "I should use chairs without armrests.": Chairs with armrests can provide additional support for getting in and out of the chair, which can help prevent falls. Using chairs without armrests may make it more difficult to rise safely and could lead to losing balance during the process.
C. "I should place a throw rug over electrical cords.": Throw rugs can create tripping hazards. Placing rugs over electrical cords does not eliminate the risk and could further increase the likelihood of a fall. It's important to keep the area clear of both rugs and cords to promote safety and prevent accidents.
D. "It is a good idea to use the handrails in the bathroom.": Handrails provide stability and support when navigating potentially slippery areas, such as bathrooms, and can significantly reduce the risk of falls. Utilizing handrails allows individuals to maintain their balance and provides reassurance when moving in and out of the tub or shower.
Correct Answer is A
Explanation
A. Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials. Prompt cleaning of the puncture site is essential in reducing the risk of transmission of bloodborne pathogens.
B. Notify employee health services: While notifying employee health services is important for follow-up care and evaluation, it should be done after the initial wound care has been performed. Immediate action should focus on cleaning the injury first.
C. Complete an incident report: Completing an incident report is a necessary step for documentation and accountability in the healthcare setting. However, it should be done after the immediate first aid for the needlestick injury has been addressed.
D. Report the incident to the charge nurse: Reporting the incident to the charge nurse is important for ensuring appropriate follow-up and support, but the priority should be to address the injury first. The nurse should take care of the puncture wound before notifying others about the incident.
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