Examkin

Soru

Zorluk: ZorBasic Care and Comfort

An adult client who has severe osteoarthritis of the left knee is receiving education from the nurse on how to navigate a staircase at home using a standard single-point cane. Which statement by the client demonstrates a correct understanding of ascending the stairs?

  1. I should step up with my right leg first, and then bring the cane and my left leg up to the step.Cevap
  2. B
    I should step up with my left leg first, and then bring the cane and my right leg up together.
  3. C
    I should advance the cane to the upper step first, followed by my right leg, and then my left leg.
  4. D
    I should place the cane and my right leg on the upper step simultaneously, followed by my left leg.

Cevap

The correct statement is that the client will step up with the right leg first, followed by the cane and the left leg.
When a client is using a cane to ascend a staircase, the mnemonic 'up with the good' applies. The client must step up with the strong or unaffected extremity (the right leg) first. The strong leg is capable of bearing the full body weight necessary to lift the person up to the next level. After the body is supported on the higher step, the cane and the affected extremity (the left leg) are brought up simultaneously. This technique maintains optimal balance and protects the arthritic knee from excessive strain.

Adım Adım Çözüm

1
Identify the client's affected and unaffected sides based on the clinical presentation.
The left knee has severe osteoarthritis (affected/weak side), making the right leg the unaffected/strong side.
Determining limb strength is essential for applying correct mobility principles with assistive devices.
2
Recall the physiological principles for safely navigating stairs with an assistive device.
The standard clinical rule is 'up with the good, down with the bad.' The strong leg must always lead when ascending to bear the workload of lifting the body against gravity.
Leading with the strong leg ensures safety, prevents falls, and avoids overloading the damaged joint.
3
Determine the proper sequence for advancing the cane.
The cane provides support for the weak leg, so it must always move concurrently with the affected leg.
Moving the cane alongside the weak leg widens the base of support exactly when the weak leg is in motion or bearing partial weight.
4
Combine the clinical rules to evaluate the client's statements.
The correct sequence for going up is: right leg (strong) steps up first, then the left leg (weak) and the cane follow together.
This confirms the statement describing the right leg moving first is the only correct understanding of the procedure.

Anahtar Kavram

Mobility Assistive Devices: Stair Navigation
Bu soruyu puanla

Konular

Basic Care and Comfort

Bu konudan daha fazla soru