Author Question: The nurse is teaching the client who requires maximum support secondary to generalized weakness to ... (Read 23 times)

magmichele12 · **on:** Jun 25, 2018

The nurse is teaching the client who requires maximum support secondary to generalized weakness to walk with a walker.

Which technique used by the nurse is the most appropriate?
1. Move the walker ahead while moving the weak leg forward, bearing weight on the strong leg.
2. Move the walker ahead while moving the strong leg forward, bearing weight on the weak leg and the arms.
3. Move the walker ahead, then move the right foot up to the walker while body weight is borne by the left leg and both arms, then move the left foot, bearing weight on the right leg and both arms.
4. Walk forward and push the walker ahead before taking the next step.

Question 2

The nurse is teaching the client how to walk with crutches. Which gait requires considerable skill, strength, and coordination?

1. Three-point gait
2. Swing-to gait
3. Swing-through gait
4. Two-point alternate gait

stano32 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

This client doesn't have a weaker or stronger leg, but is in a generally weakened condition, so the client should be taught to move the walker forward and support the body's weight on the arms and one leg, as first one leg and then the other is moved forward.

Answer to Question 2

Correct Answer: 3

The swing-through gait moves both crutches forward together and then the body is lifted by the arms and swings through and beyond the crutches, requiring enough strength to lift the body on the arms and enough coordination to manage to balance while the body is in the air. The three-point gait requires the client to bear her entire body weight on the unaffected leg. People with paralysis of the legs and hip use the swing gaits, the easier of these two gaits. The two-point alternate gait is faster than the four-point gait, and requires more balance, because only two points support the body at one time.