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concept of nursing 1
Ambulation Aids: Education
| Question | Answer |
|---|---|
| A 23-year-old patient came to the emergency department with a fractured left ankle. The ankle fracture has been splinted and immobilized. The patient is scheduled to see the orthopedic surgeon within 48 hours and, | -- |
| cannot put any weight on the injured leg. The patient should receive instructions on which ambulation aid? | Two crutches, three-point gait |
| A patient who lives in a second-floor walk-up apartment is being taught how to ambulate with crutches after injuring a leg. Which instruction correctly describes how to negotiate stairs? | To go up the stairs, the patient should advance the good leg and the crutches, then step up. |
| A patient shows complications from incorrectly bearing weight on axillary crutches. Which condition can be eliminated as a possible complication of this patient’s incorrect technique? | Humerus fracture |
| Which patient would have the most difficulty using three-point, non–weight-bearing crutch walking? | An 88-year-old patient with a history of heart failure |
| A young parent of two toddlers was treated for a fracture of the left tibia and has just been taught how to use crutches. The patient provided a safe return demonstration using a three-point pattern on two crutches. | -- |
| Which statement indicates that this patient understands the safety issues surrounding the non–weight-bearing use of crutches? | “I need to check for any tripping hazards, such as throw rugs, electrical cords, or toys, before I use my crutches in the house.” |
| Which practice is most effective in assessing a patient’s understanding of crutch walking? | Have the patient demonstrate the safe use of the crutches. |
| Which type of crutch walking requires the greatest expenditure of energy? | Three-point gait |
| When instructing a patient how to use a walker for the first time, what should the health care team member do first? | Ensuring that the four tips of the walker are able to touch the floor simultaneously. |
| An adult patient who just received crutches to assist with ambulation after a knee injury is leaning with full weight on the padded axilla supports while walking. For which complication is this patient at greatest risk? | Wrist drop |
| When teaching a patient to go up and down the stairs with crutches, which statement should be included? | “It may be safer to sit down and scoot up and down the stairs.” |
Created by:
Lightnning54
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