A nurse is teaching a client with a left tibial fracture, who is prescribed non-weight-bearing status on the left leg, how to safely stand up from a seated position in a chair using axillary crutches. Arrange the following instructional steps in the correct chronological order.
- 1Instruct the client to slide forward to the front edge of the chair.
- 2Direct the client to place both crutches in the hand on the affected side.
- 3Have the client grasp the armrest of the chair with the hand on the unaffected side.
- 4Instruct the client to push up to a standing position using the armrest and the unaffected leg.
- 5Guide the client to transfer one crutch to the other hand and establish a tripod stance.
Cevap
The correct sequence is: slide forward to the edge of the chair, place both crutches in the hand on the affected side, grasp the armrest with the unaffected hand, push up to a standing position, and finally establish a tripod stance.
When assisting a non-weight-bearing client to stand with crutches, safety and balance depend on proper leverage. The client must first move to the edge of the chair to align their center of gravity over their base of support. By placing both crutches in the hand on the affected side, the strong, unaffected arm is left free to grasp the solid chair armrest. The client then pushes up using the strong arm and strong leg, ensuring no weight is placed on the affected side. Only after achieving a stable standing position should the client move one crutch to the other hand to create the tripod stance for safe ambulation.
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Anahtar Kavram
Assistive Devices and Safe Client Transfers