A nurse is teaching a client who has a non-weight-bearing right leg fracture how to ascend stairs using axillary crutches. In what order should the nurse instruct the client to perform the following actions? Arrange the steps in the correct sequence.
- 1Assume the tripod position facing the stairs.
- 2Transfer body weight entirely to the crutches.
- 3Advance the unaffected leg onto the stair tread.
- 4Shift body weight from the crutches to the unaffected leg.
- 5Bring both crutches and the affected leg up to the stair.
Answer
The correct sequence for ascending stairs with axillary crutches is to establish a tripod position, transfer weight to the crutches, step up with the unaffected leg, shift weight to the unaffected leg, and finally bring the crutches and affected leg up.
When ascending stairs with crutches, the primary safety principle is 'up with the good'. The client must first establish balance in the tripod position. By transferring weight to the crutches, the client frees the strong, unaffected leg to step up. Once the strong leg is on the stair, the client shifts their weight onto it. This strong leg then powers the lifting of the body, allowing the client to safely bring the crutches and the affected, non-weight-bearing leg up to the same step without compromising balance or the injury.
Step-by-Step Solution
Key Concept
Assistive Device Mobility: Ascending Stairs