A client with a right tibial fracture is non-weight-bearing on the affected extremity. The nurse is instructing the client on how to safely ascend a flight of stairs using axillary crutches. Arrange the following actions in the correct sequence from first to last.
- 1Place body weight securely on both crutches while standing at the base of the stairs.
- 2Step up onto the first stair tread with the unaffected (left) leg.
- 3Transfer body weight entirely onto the unaffected (left) leg.
- 4Lift both crutches and the affected (right) leg up to the stair tread.
Cevap
The correct sequence for ascending stairs with crutches is to first place body weight on the crutches, step up with the unaffected leg, shift weight to the unaffected leg, and finally bring the crutches and the affected leg up to the stair tread.
When ascending stairs with crutches, the standard safety principle is 'up with the good.' The client must first stabilize their body by supporting their weight on the crutches. Next, they advance the unaffected (strong) leg up to the stair tread. Once the strong leg is firmly placed, they transfer their body weight onto it. Finally, they use the strength of the unaffected leg to lift their body, bringing both the crutches and the affected (injured) leg up to the same stair tread. This specific sequence maintains center of gravity, ensures stability, and protects the non-weight-bearing extremity from bearing an unsafe load.
Adım Adım Çözüm
Anahtar Kavram
Assistive Devices: Crutch Walking on Stairs