A client is receiving rehabilitation on a medical-surgical unit following a right total knee arthroplasty. The nurse is observing the client use a standard, non-rolling walker for ambulation. Arrange the steps of the walking sequence in the correct order to ensure safe equipment use. All options must be used.
- 1Lift the walker and place it approximately 6 inches forward.
- 2Verify that all four legs of the walker are resting flat on the floor.
- 3Advance the affected (right) leg forward into the frame of the walker.
- 4Support body weight on the hands and bring the unaffected (left) leg forward.
Answer
The correct sequence is to first move the walker forward, ensure it is stable on all four legs, step forward with the affected leg, and finally bring the unaffected leg forward.
The correct sequence prioritizes stability and weight distribution. The walker must be moved first and stabilized on the floor to provide a secure base. The affected leg is moved next so the strong leg and the arms can safely support the body weight. The strong leg is moved last to complete the step.
Step-by-Step Solution
Key Concept
Standard Walker Ambulation Sequence