When using crutches, what is the correct way to walk?

Alternate between bearing weight on the crutches and the injured leg

Use the crutches to hop forward without putting weight on the injured leg

Keep the injured leg elevated at all times

Lean heavily on the crutches to avoid putting weight on the injured leg

Answer and Explanation

The Correct Answer is A

A.   This is the correct way to walk with crutches. It allows for weight-bearing on the injured leg as tolerated, promoting healing and preventing muscle atrophy.
B.   Hopping can put additional stress on the injured leg and other joints, increasing the risk of further injury.
C.   While elevating the injured leg can help reduce swelling, it's important to engage in regular weight- bearing exercises to maintain muscle strength and prevent stiffness.
D.   Leaning heavily on the crutches can put excessive pressure on the wrists and shoulders, leading to pain and discomfort.

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Correct Answer is B

Explanation

A. Warm water is appropriate for washing the feet, but it's important to avoid very hot water, which can damage the skin.
B. This is the best way to prevent moisture buildup between the toes, which can lead to fungal infections. Air drying helps to keep the skin dry and reduces the risk of infection.
C. Soaking the feet can soften the skin and make it easier to remove dead skin cells, but it's important to avoid prolonged soaking, as this can dry out the skin and increase the risk of infection.
D. Applying moisturizer between the toes can trap moisture and create a breeding ground for bacteria and fungi. It's best to apply moisturizer to the top and bottom of the feet, avoiding the areas between the toes.

A. Elevate the head of the client's bed to 45° during meals. B. Instruct the client to tilt their head back while swallowing. C. Provide the client with oral hygiene. D. Turn on the television for the client during meals.

Correct Answer is A

Explanation

A. Elevating the head of the bed during meals can help prevent aspiration by allowing gravity to assist in keeping food and liquids in the esophagus rather than the airway. This position reduces the risk of aspiration pneumonia significantly for clients who may have swallowing difficulties.
B. Tilting the head back while swallowing can increase the risk of aspiration, as it can cause food or liquids to flow into the airway rather than the esophagus. Proper swallowing techniques usually involve tilting the head slightly forward or maintaining a neutral position.
C. While good oral hygiene is essential for overall health and can help reduce the risk of aspiration pneumonia by minimizing bacteria in the mouth, it is not a direct action during meal times that prevents aspiration. Oral hygiene is important but should be part of a comprehensive care plan.
D. Distractions during meals, such as watching television, can lead to decreased attention to swallowing and increase the risk of aspiration. It can divert the client’s focus from the act of eating, making it harder for them to manage their swallowing effectively.

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When using crutches, what is the correct way to walk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?

Correct Answer is A

Explanation

A nurse is assisting with teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include?

A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of autonomy?

A nurse is assisting with evaluating ergonomic practice in the workplace. Which of the following should the nurse identify as an example of safe ergonomic practice?

A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?

When showering a patient, which of the following actions should the nurse take to ensure patient safety?

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?

A nurse is reinforcing teaching with a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device. Which of the following statements by the client indicates an understanding of the teaching?