The client needs to use crutches at home, and will have to manage ...

[chandani]

The client needs to use crutches at home, and will have to manage going up and down a short flight of stairs. The nurse evaluates the use of an appropriate technique if the client:
 
  1. Uses a banister or wall for support when descending
  2. Uses one crutch for support while going up and down
  3. Advances the crutches first to ascend the stairs
  4. Advances the affected leg after moving the crutches to descend the stairs

Question 2

The nurse is working with a client who has left-sided weakness. After instruction, the nurse ob-serves the client ambulate in order to evaluate the use of the cane. Which action indicates that the client knows how to use the cane properly?
 
  1. The client keeps the cane on the left side.
  2. Two points of support are kept on the floor at all times.
  3. There is a slight lean to the right when the client is walking.
  4. After advancing the cane, the client moves the right leg forward.

[jackie]

Answer to Question 1

ANS: 4
To descend stairs, the crutches are placed on the stairs and the client moves the affected leg, then the unaffected leg to the stairs with the crutches. The client should continue to use the crutches for support, not the banister or wall. The client should continue to use both crutches for support when going up or down stairs. When ascending stairs, the client moves the unaffected leg up the stair, then the crutches and affected leg.

Answer to Question 2

ANS: 2
Two points of support, such as both feet or one foot and the cane, should be on the floor at all times. The cane should be kept on the stronger side, the client's right side. The client should keep his or her body upright and midline. Leaning can cause the client to lose his or her balance and fall. After advancing the cane, the client should move the weaker leg, the client's left leg, for-ward to the cane.

[chandani]

TY

[jackie]

You're welcome