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 ["A","B","C","D"]

Explanation

A. Obtain the provider's prescription renewal every 72 hr.: This is an essential intervention. Restraints must be prescribed by a provider and typically require renewal every 24 to 72 hours, depending on hospital policy and the client's needs. Continuous monitoring and justification for the use of restraints are necessary for ethical and legal compliance.

B. Document restraint checks and client status every 2 hr.: Regular documentation of restraint checks and the client’s status is vital for ensuring safety and monitoring for any potential complications, such as skin breakdown or circulatory issues. Frequent checks help ensure that restraints are being used appropriately and that the client’s needs are being met.

C. Implement passive range-of-motion exercises: Incorporating passive range-of-motion exercises is important for preventing joint stiffness, muscle atrophy, and promoting circulation in an immobile client. These exercises can help maintain some level of mobility and prevent complications associated with prolonged immobility.

D. Educate the client's family about restraint use: Providing education to the family about the rationale for using restraints, their purpose, and the monitoring process is essential for transparency and support. This helps the family understand the situation and the measures being taken to ensure the client’s safety.

E. Release the restraint and reposition the client every 4 hr.: This intervention is not sufficient, as restraints should typically be released more frequently, generally every 1 to 2 hours, to assess the client's condition, provide comfort, and allow for repositioning. Releasing restraints every 4 hours may increase the risk of complications and does not align with best practices for care.

A. Encouraging the client to consume a high-protein diet B. Placing the client in a room with positive-pressure airflow C. Changing the client's bed linens each day D. Performing hand hygiene before, during, and after direct contact with the client

Correct Answer is D

Explanation

A. Encouraging the client to consume a high-protein diet: While a high-protein diet can support the client's immune system and promote healing, it does not directly prevent the transmission of infection. Nutritional support is important for recovery, but it is not a primary strategy for infection control.

B. Placing the client in a room with positive-pressure airflow: Positive-pressure airflow is typically used in rooms for immunocompromised patients to prevent exposure to airborne pathogens, not for clients with infections. Infected patients generally require isolation precautions, which may include negative-pressure rooms, especially for airborne or droplet precautions.

C. Changing the client's bed linens each day: Although maintaining clean linens is important for general hygiene and comfort, simply changing bed linens does not significantly prevent the transmission of infection. Effective infection control measures focus more on direct contact precautions and environmental cleanliness rather than the frequency of linen changes alone.

D. Performing hand hygiene before, during, and after direct contact with the client: Hand hygiene is one of the most effective strategies to prevent the transmission of infections in healthcare settings. Proper handwashing or use of alcohol-based hand rubs significantly reduces the risk of spreading pathogens and protects both the patient and healthcare providers from infections. This strategy is essential in breaking the chain of infection.

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

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