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concept of nursing 1
Ambulation Aids: Measuring and Fitting
| Question | Answer |
|---|---|
| A 78-year-old patient who is using a friend’s spare cane comes into the emergency department for a minor knee injury. If the handgrip of the cane is level with the patient’s greater trochanter and ulnar side of the wrist | -- |
| what is the most appropriate intervention? | Let the patient continue using the same cane because it is already correctly fitted. |
| A 17-year-old patient has a fractured tibia and needs to be fitted for crutches before being discharged home. The patient’s height is 180 cm (5 ft 11 inches). How long should the crutches be? | 140 cm (55 inches), confirming the fit of the crutches when the patient is standing |
| A patient who has been having some left hip pain with ambulation is about to be discharged and sent home with a walker. To ensure a good fit for the walker, which statement is accurate? | The patient’s elbows are flexed approximately 15 degrees. |
| Which position ensures the best result when a patient is being fitted for any ambulation aid? | The patient is standing upright. |
| A 6-year-old patient arrives at the emergency department and is diagnosed with a fractured ankle. What is the most appropriate ambulation aid for this patient? | Two crutches, with assistance from an adult to ensure the patient’s safety |
| An 85-year-old patient who is typically sedentary tripped on a step and fractured an ankle. A plaster splint is placed and non–weight-bearing status is prescribed. Which ambulation aid is prescribed to best assist this patient with mobility? | Wheelchair |
| When a patient who is 170 cm (67 inches) tall is being fitted for crutches, the crutches are adjusted to a height of 139 cm (55 inches) from the axillary pad to the crutch tip. This adjustment puts the patient at risk for which complication? | Nerve damage |
| When assessing a patient’s limitations and capabilities to determine which ambulation device is appropriate, which assessment parameters are most important? | Strength, visual acuity, range of motion |
| What is important to ensure when fitting an older patient with a cane? | The tip of the cane is 5 cm (2 inches) lateral to the forefoot. |
| An 8-year-old patient is fitted with crutches while the parents learn about their child’s ankle fracture and use of crutches. Which statement by the parents indicates a need for further instruction? | “We can use these crutches for our child’s twin, too.” |
Created by:
Lightnning54
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