When instructing a client on using the three-point gait with crutches, which of the following steps should be emphasized to ensure correct usage and safety? (Select all that apply)
Use the affected leg to help push off from the ground
Move the affected leg forward to match the crutches.
Advance the unaffected leg to meet the crutches
Ensure the crutch pads are 1 to 2 inches below the ad
Lean forward significantly to maintain balance.
Place the crutches under the axilla for support.
Advance both crutches while bearing weight on the unaffected leg
Correct Answer : B,C,D,G
A. Use the affected leg to help push off from the ground: In a three-point gait, the affected leg does not bear weight. Using it to push off could cause instability and increase the risk of falls. The unaffected leg and crutches provide the primary support.
B. Move the affected leg forward to match the crutches: The client should move the affected leg forward with the crutches while keeping weight on the arms and unaffected leg. This allows partial advancement of the injured side without bearing full weight on it.
C. Advance the unaffected leg to meet the crutches: After the crutches and affected leg move forward, the unaffected leg is brought up to meet them. This ensures safe, steady progression without compromising balance.
D. Ensure the crutch pads are 1 to 2 inches below the axilla: Proper crutch fit prevents pressure on the axilla, which can damage nerves and blood vessels. Maintaining a small gap allows safe and comfortable weight bearing on the hands.
E. Lean forward significantly to maintain balance: Leaning excessively forward shifts weight improperly and can cause falls. The client should keep an upright posture, distributing weight through the hands on the crutches.
F. Place the crutches under the axilla for support: Resting directly under the axilla risks brachial plexus injury and should be avoided. The weight should be borne through the hands, not the underarms.
G. Advance both crutches while bearing weight on the unaffected leg: Moving both crutches forward together allows the affected leg to move with them while the client’s weight is supported by the unaffected leg. This is a key step in the three-point gait.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nephrotoxicity: Nephrotoxicity is more commonly associated with aminoglycosides and certain chemotherapeutic drugs. While quinolones are excreted by the kidneys, they are not typically linked to significant kidney toxicity as a primary side effect.
B. Hypersensitivity reactions: Allergic reactions can occur with any antibiotic, including quinolones, but they are not the hallmark adverse effect. They are less frequent compared to the well-recognized musculoskeletal complications.
C. Tendon rupture: Quinolones, such as ciprofloxacin and levofloxacin, are well known for causing tendon inflammation and rupture, particularly the Achilles tendon. This risk is higher in older adults, clients on corticosteroids, and those with kidney disease.
D. Ototoxicity: Ototoxicity is associated with aminoglycosides like gentamicin, not quinolones. Hearing loss, tinnitus, or vestibular damage are not common complications of quinolone therapy.
Correct Answer is ["B","D","F"]
Explanation
A. Obtain consent from the client without confirming understanding: Consent is not valid unless the client fully understands the procedure, risks, and benefits; skipping this step is unsafe and legally problematic.
B. Provide education to decrease the client's anxiety: Explaining the procedure, risks, and benefits helps the client make an informed decision and reduces fear, which is essential for valid verbal consent.
C. Coerce the client into giving consent quickly: Coercion invalidates informed consent and violates ethical and legal standards of care.
D. Verify the client understands the information provided: Ensuring comprehension confirms that the client can make an informed choice, which is a key element of informed consent.
E. Ensure the client is legally capable of consenting: The client must have the legal capacity to consent, including age and mental competency, to validate the agreement for the procedure.
F. Ignore the client's questions about the procedure: Failing to answer questions prevents the client from making an informed decision, which is a violation of patient rights and informed consent principles.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.