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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Partial assistance required for daily activities: A score lower than 6 indicates some level of dependence or the need for assistance, which does not apply to a score of 6.

B. Complete dependence on others for daily activities: A score of 0 on the Katz Index would reflect complete dependence. A score of 6 indicates full independence.

C. Full independence in performing daily activities: A score of 6 on the Katz Index signifies that the individual can perform all six activities of daily living independently, demonstrating a high level of functional ability.

D. Moderate assistance required for daily activities: A score of 6 indicates total independence. A score of 3 or lower would suggest moderate assistance is required, making this option incorrect.

A. "I will keep my walker at the end of my bed." B. "I will place an area rug at the entry of my bathroom." C. 1 will keep the fluorescent ceiling light in my room at night." D. "I will place a bath seat in my shower to use when I bathe."

Correct Answer is D

Explanation

A. "I will keep my walker at the end of my bed.": Storing a walker at the end of the bed may not be the safest option. The walker should be kept within easy reach to ensure the client can access it promptly when getting up, reducing the risk of falls.

B. "I will place an area rug at the entry of my bathroom.": Placing an area rug in a high-traffic area like the bathroom can create a tripping hazard, increasing the risk of falls. It is important to keep walking paths clear and free from obstacles to ensure safety.

C. "I will keep the fluorescent ceiling light in my room at night.": While having adequate lighting is important, keeping the light on at night may not address the need for easy access to light sources. The client should consider using nightlights or ensuring that light switches are easily accessible to avoid navigating in the dark.

D. "I will place a bath seat in my shower to use when I bathe.": This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower. This reflects the client's awareness of their needs related to fall prevention.

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When instructing a client on the proper use of a cane, which step is essential to ensure stability and safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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