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Soru

Zorluk: OrtaBasic Care and Comfort

A nurse is providing discharge instructions to a client who has a cast on the right lower leg and is prescribed standard axillary crutches. The client has a strict non-weight-bearing status on the right leg. Which of the following instructions should the nurse provide regarding how to correctly ascend a flight of stairs?

  1. Place body weight on the crutches and advance the left leg up to the step first.Cevap
  2. B
    Advance both crutches and the right leg up to the step simultaneously, then bring up the left leg.
  3. C
    Move both crutches to the step first, transfer body weight forward, and then step up with the left leg.
  4. D
    Step up with the right leg first, followed immediately by both crutches and the left leg.

Cevap

Place body weight on the crutches and advance the left leg up to the step first.
When ascending stairs with crutches, the client must use the 'up with the good' technique. This involves supporting the body weight on the crutches while advancing the unaffected (good) leg to the next step. Once the unaffected leg is secure on the step, the client transfers their weight to that leg and brings both the crutches and the affected leg up to the same step. This maintains balance and ensures no weight is placed on the injured extremity.

Adım Adım Çözüm

1
Identify the client's weight-bearing status and the affected extremity.
The client is strictly non-weight-bearing on the right leg.
Understanding which leg is unaffected (left) is crucial for determining the correct movement sequence on stairs.
2
Recall the standard principle for crutch walking on stairs.
The principle is 'up with the good, down with the bad.'
This mnemonic helps remember that the unaffected (good) leg leads when ascending, and the affected (bad) leg leads when descending.
3
Determine the sequence of movements for ascending stairs.
The body weight must be supported by the crutches while the unaffected left leg is moved up to the next step.
The unaffected leg must establish a stable base of support on the higher level before the crutches and the affected leg can be safely lifted.

Anahtar Kavram

Crutch Walking on Stairs
Tahmini Süre:1m 0s
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Konular

Basic Care and Comfort

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