Which of the following is a key consideration when fitting crutches for a patient using a three-point gait?

Ensure the crutch pads rest directly under the axilla

Ensure the patient can bear weight on both legs.

Position the crutches so they are 6 inches behind the feet.

Adjust the hand grips so the elbows are flexed at 20 to 30 degrees

Answer and Explanation

The Correct Answer is D

A. Ensure the crutch pads rest directly under the axilla: Crutch pads should be positioned 1–2 inches below the axilla to prevent pressure on the nerves and blood vessels in the armpit, which could cause injury.

B. Ensure the patient can bear weight on both legs: A three-point gait is specifically used when one leg is non-weight-bearing, so requiring weight-bearing on both legs is inappropriate.

C. Position the crutches so they are 6 inches behind the feet: Crutches should be placed slightly in front and to the side of the feet, not behind, to provide proper balance and prevent falls.

D. Adjust the hand grips so the elbows are flexed at 20 to 30 degrees: Proper hand grip adjustment allows the patient to support weight through the hands rather than the axilla, reducing the risk of nerve injury. Correct elbow flexion also ensures optimal leverage and stability while using a three-point gait, promoting safe and effective ambulation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Encourage coughing and deep breathing: This technique helps mobilize secretions and improve lung expansion but does not directly thin secretions. It is supportive for airway clearance, yet hydration is more effective for thinning mucus consistency.

B. Encourage the client to increase fluid intake: Adequate hydration helps liquefy and thin respiratory secretions, making them easier to expectorate. Increased fluid intake is a primary intervention for promoting secretion clearance in clients with pneumonia.

C. Encourage regular use of the incentive spirometer: Incentive spirometry supports lung expansion and prevents atelectasis but does not significantly impact secretion viscosity. It is important for respiratory health but not the best measure for thinning mucus.

D. Encourage the client to ambulate frequently: Ambulation improves ventilation and circulation, which aids overall recovery. However, it does not directly thin respiratory secretions, though it can complement hydration in promoting airway clearance.

A. "A client's address would be an example of personally identifiable information." B. "HIPAA is a federal law, not a state law. C. "Information about a client can be disclosed to family members at any time." D. “HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.”

Correct Answer is C

Explanation

A. "A client's address would be an example of personally identifiable information.": A client’s address is considered protected health information because it can be used to identify the individual. Recognizing this aligns with HIPAA requirements for confidentiality.

B. "HIPAA is a federal law, not a state law.": HIPAA is indeed a federal law that sets national standards for the protection of health information, distinguishing it from state-specific regulations.

C. "Information about a client can be disclosed to family members at any time.": Disclosure to family members is restricted and only permitted when the client consents or in specific circumstances defined by HIPAA. This statement indicates a misunderstanding of privacy rules and requires further teaching.

D. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.": HIPAA protects all forms of individually identifiable health information, and understanding this scope is essential for compliance in all healthcare settings.

View Question and Answer

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

Which of the following is a key consideration when fitting crutches for a patient using a three-point gait?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?

Correct Answer is B

Explanation

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is C

Explanation

During an abdominal assessment, why is auscultation performed before palpation?

A nurse is evaluating a client's understanding of their medication Exhibits The nurse returns in 1 week for a follow up appointment. For each client statement indicate if the client understood the teaching or needs further teaching

A nurse is caring for a client who is experiencing impaired mobility. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdownanddropdown

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?