ATI Skills Module 3.0: Mobility |Questions and Answers with 100% correct answers | Verified

A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include? A. "Lean on the crutches to support your body weight when standing." B. "Fully extend your arms when holding onto the hand grips." C. "Hold the crutches on your unaffected side when preparing to sit in a chair." D. "Hold the crutches 9 inches in front of and to the side of each foot." - C. "Hold the crutches on your unaffected side when preparing to sit in a chair." Rationale: The crutches should be held on the unaffected side when preparing to sit in a chair. Incorrect Rationale: A. Leaning on the crutches when standing puts excessive pressure on the axillae and can cause nerve injury B. The crutches should be fitted so the client's arms are flexed about 30° at elbows when holding onto hand grips. D. The crutches should be held only 6 inches in front of & to side of each foot to assist w/ balance. A nurse is assisting with the ambulation of a client who becomes light-headed and begins to fall. Which of the following actions should the nurse take? A. Wrap both arms around the client's arms and shoulders. B. Move both feet together when the client begins to fall. C. Protect the client's extremities while lowering them to the floor. D. Extend one leg and allow the client to slide down the leg to the floor. - D. Extend one leg and allow the client to slide down the leg to the floor.Rationale: This action helps prevent injury to the client. As the client gets close to the floor, the nurse should bend both legs to continue supporting the client. A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take? A. Place the stockings on the client after the client ambulates to the restroom. B. Ensure the client's toes are visible after placing the stockings on the client. C. After applying the stockings, place two fingers between the client's leg and stocking to check the fit. D. Measure the client's calf circumference and leg length from heel to knee. - D. Measure the client's calf circumference and leg length from heel to knee.