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Zorluk: OrtaErgonomics and Safe Use of Equipment

A practical nurse is managing the care of a client who has a fractured left ankle and is learning to safely ambulate using axillary crutches. Which of the following observations or actions demonstrate the correct application of ergonomic principles, safe equipment use, and appropriate clinical practice? (Select all that apply)

  1. The client maintains a gap of two to three finger widths between the crutch pads and the axillae.Cevap
  2. The client supports their body weight entirely on the hand grips rather than resting on the underarms.Cevap
  3. The client positions the crutch tips slightly forward and lateral to their feet to create a wide base of support.Cevap
  4. D
    The nurse assigns the unlicensed assistive personnel to perform the initial assessment and height fitting for the crutches.
  5. E
    The client allows the fractured extremity to hang in a continuous, dependent position while practicing stationary standing.
  6. F
    The nurse tells the frustrated client, 'Do not worry at all, everyone masters this equipment perfectly on their first try.'

Cevap

The correct actions involve the client maintaining a two to three finger width gap below the axillae, supporting their full body weight on the hand grips, and positioning the crutches forward and laterally to establish a wide base of support.
Proper ergonomic use of axillary crutches requires the client to bear weight entirely on the hands and arms, not the axillae, to prevent brachial plexus nerve injury. A gap of two to three finger widths between the axilla and the crutch pad ensures the equipment is fitted safely. Placing the crutch tips slightly forward and to the sides establishes a wide base of support, maximizing stability and preventing falls.

Adım Adım Çözüm

1
Evaluate the client's physical use of the crutches for proper ergonomics and safety.
A gap under the axillae and weight-bearing on the hands prevent brachial plexus nerve damage. A wide base of support prevents falls.
These are fundamental principles of assistive device safety and body mechanics.
2
Analyze the nurse's delegation and communication strategies.
Delegating the initial fitting to an assistive personnel is out of scope. Telling the client not to worry is an example of false reassurance.
Initial assessments require clinical judgment, and non-therapeutic communication invalidates the client's feelings and anxiety regarding the new equipment.
3
Assess the physical positioning of the fractured limb during the activity.
Allowing the injured leg to hang in a dependent position is incorrect.
Dependent positioning increases swelling, pooling of blood, and pain in a recently fractured extremity.

Anahtar Kavram

Ergonomics and Safe Use of Assistive Devices
Tahmini Süre:1m 30s
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Ergonomics and Safe Use of Equipment

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