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 ["C","D"]
Explanation
A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.
Correct Answer is B
Explanation
A. While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B. Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C. Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D. Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.
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