While assessing the client's gait during, which of the following would indicate a need for further evaluation?
Feet stay parallel when moving forward.
Heels strike the ground before the toes.
Reses each foot off the floor with each step.
Right arm and leg move forward together
The Correct Answer is D
A. This is a normal finding in gait, as the feet should typically remain parallel while walking.
B. Heels strike the ground before the toes. This is a normal gait pattern, especially in elderly individuals, where a heel-to-toe walk is common.
C. Reses each foot off the floor with each step. This is a normal finding, as the person should lift their foot off the ground while walking.
D. Right arm and leg move forward together. This is an abnormal finding, indicating a possible neurological issue such as hemiparesis or other gait disturbance, which warrants further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This area is used to assess the mitral area, not the pulmonic area.
B. The left fifth intercostal space at the midclavicular line. This is the correct location to assess the mitral area of the heart, not the pulmonic area.
C. This is the correct area to assess the pulmonic valve, not the left side.
D. This is the correct location to assess for the pulmonic area, where the second heart sound is best heard and where pulsations may be noted.
Correct Answer is C
Explanation
A. Larger body size does not increase the risk for osteoporosis. In fact, individuals with a larger body may have more bone mass, offering some protection.
B. Although a history of fractures may indicate fragile bones, childhood fractures do not significantly contribute to the development of osteoporosis in adulthood.
C. Smoking is a well-established risk factor for osteoporosis. It reduces bone density and impairs bone regeneration, making smokers more prone to fractures and bone loss.
D. While excessive alcohol consumption can increase the risk of osteoporosis, consuming one alcoholic beverage per day is generally considered moderate and does not pose a high risk for osteoporosis by itself.
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