A practical nurse is reinforcing teaching for a client who is non-weight-bearing on the right leg and is learning to ascend stairs using crutches without a handrail. In what order should the practical nurse instruct the client to perform the following actions? Arrange the actions in the correct chronological sequence.
- 1Assume the tripod position at the bottom of the stairs.
- 2Transfer body weight entirely onto the crutches.
- 3Advance the unaffected leg up onto the step.
- 4Shift body weight from the crutches to the unaffected leg.
- 5Bring the affected leg and both crutches up to the step.
Cevap
The correct sequence is: Assume the tripod position, transfer body weight to the crutches, advance the unaffected leg up onto the step, shift body weight to the unaffected leg, and finally bring the affected leg and both crutches up to the step.
When ascending stairs with crutches, the standard safety protocol is 'up with the good, down with the bad.' The client must first establish balance in the tripod position and transfer weight to the crutches. This allows the unaffected (strong) leg to be lifted onto the step safely. Once the strong leg is on the step, the client shifts their weight onto it, using the strong leg to power the body upward while simultaneously bringing the crutches and the affected (weak) leg up to the same step.
Adım Adım Çözüm
Anahtar Kavram
Ascending stairs with crutches (non-weight-bearing)