A client with a newly casted right fractured tibia is prescribed non-weight-bearing status for the right leg. The nurse is educating the client on how to safely stand up from a wheelchair using axillary crutches. In which order should the nurse instruct the client to perform the following actions? Arrange the steps from first to last.
- 1Position the body at the front edge of the wheelchair seat while keeping the left foot flat on the floor.
- 2Grasp the handgrips of both crutches together using the right hand.
- 3Place the left hand firmly on the wheelchair's left armrest.
- 4Push down with the left hand and left leg to lift the body into a standing position.
- 5Transfer one crutch under the left axilla and establish a stable tripod base.
Answer
The correct sequence is to first move to the edge of the chair with the unaffected foot flat, hold both crutches in the hand of the affected side, place the unaffected hand on the armrest, push up using the unaffected arm and leg, and finally transfer the crutches into the tripod position.
Standing safely with crutches requires maximizing the strength of the unaffected limbs. The client must position themselves at the edge of the seat with the strong foot grounded. By holding both crutches on the affected side, the strong arm is free to push off the armrest simultaneously with the strong leg. Once standing and balanced, the crutches are repositioned under both arms.
Step-by-Step Solution
Key Concept
Basic Care and Comfort: Safe mobility and assistive device utilization for non-weight-bearing clients.