NSG 3130 EXAM 2 (Latest Update) |
Complete with Questions and Verified Answers |
100% Correct with rationales| Grade A
1. Your patient will be using crutches for mobility. After educating the patient on how to adjust
the crutches to fit correctly, you assess how well the patient understood the instructions. What
findings demonstrate that the crutches were adjusted correctly by the patient? Select all that
apply:*
A. The hand grips of the crutches are even with the mid-forearm.
B. When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating. - ANSWER
The answers are B and C. Properly fitted crutches should be a 2-3 finger width (about 1-1.5
inches) distance between the axillae (armpit area) and the crutch rest pads during ambulation.
This prevents damaging the nerves that are located in the axillae during ambulation. In addition,
when the patient grips the hand grips of the crutches the elbow should slightly bend at about
30 degrees. Option A is wrong because the hand grips of the crutches should be even with the
hip line (not the mid-forearm), and option D is wrong because the patient should place weight
on the HANDS while ambulating NOT the axillae area (this can cause nerve damage).
2. Your patient is using a cane for the first time. Before using the cane, you assess that the cane
properly fits the patient. Which findings below demonstrate the cane properly fits the patient?
Select all that apply:*
A. The arm that is holding the cane is flexed at about a 40 degree angle.
B. The top of the cane is at the level of the greater trochanter.
C. When the patient dangles their arms, the top of the cane is even with the crease of the wrist
closest to the hand.
, D. There is a 1.5 inch gap between the top of the cane and the axillae. - ANSWER The answers
are B and C. Option B and C are correct because these are the two methods used to determine a
proper fit for a cane. Option A is wrong because the arm holding the cane should be flexed at
about 15-30 degree angle (NOT 40 degree angle). Option D is wrong because proper
measurement of a cane has nothing to do with the axillae region (this is applicable only for
crutches).
3. A patient will be using a walker for the first time. You adjust the walker to fit the patient.
Which finding below demonstrates that the walker properly fits the patient?*
A. There is a 2-3 finger width distance between the hand grips of the walker and the wrists.
B. The elbows bend at about a 15-30 degree angle when the patient holds onto the hand grips
of the walker.
C. The patient's back is mid-line with the crossbar of the walker.
D. The crossbar of the walker is even with the greater trochanter. - ANSWER The answer is B.
When a patient holds the hand grips of the walker, the elbows should slightly bend at a 15-30
degree angle.
4. Your patient is prescribed to use crutches for ambulation. The patient can bear partial weight
and needs to be taught how to use the two-point gait while using crutches. Which description
below best describes this type of gait with crutches?*
A. The patient moves both crutches forward and then moves both legs forward to the same
point as the crutches.
B. The patient moves the right crutch (injured side), then moves the left foot (non-injured side),
then moves the left crutch (non-injured side), and then moves the right foot (injured side).
C. The patient moves both the right crutch (injured side) and left foot (non-injured side) forward
together, and then moves the left crutch (non-injured side) and right foot (injured side) forward
together.
D. The patient moves both crutches and injured leg forward together, and then moves the non-
injured leg forward. - ANSWER The answer is C. The two-point gait is where the patient moves
Complete with Questions and Verified Answers |
100% Correct with rationales| Grade A
1. Your patient will be using crutches for mobility. After educating the patient on how to adjust
the crutches to fit correctly, you assess how well the patient understood the instructions. What
findings demonstrate that the crutches were adjusted correctly by the patient? Select all that
apply:*
A. The hand grips of the crutches are even with the mid-forearm.
B. When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating. - ANSWER
The answers are B and C. Properly fitted crutches should be a 2-3 finger width (about 1-1.5
inches) distance between the axillae (armpit area) and the crutch rest pads during ambulation.
This prevents damaging the nerves that are located in the axillae during ambulation. In addition,
when the patient grips the hand grips of the crutches the elbow should slightly bend at about
30 degrees. Option A is wrong because the hand grips of the crutches should be even with the
hip line (not the mid-forearm), and option D is wrong because the patient should place weight
on the HANDS while ambulating NOT the axillae area (this can cause nerve damage).
2. Your patient is using a cane for the first time. Before using the cane, you assess that the cane
properly fits the patient. Which findings below demonstrate the cane properly fits the patient?
Select all that apply:*
A. The arm that is holding the cane is flexed at about a 40 degree angle.
B. The top of the cane is at the level of the greater trochanter.
C. When the patient dangles their arms, the top of the cane is even with the crease of the wrist
closest to the hand.
, D. There is a 1.5 inch gap between the top of the cane and the axillae. - ANSWER The answers
are B and C. Option B and C are correct because these are the two methods used to determine a
proper fit for a cane. Option A is wrong because the arm holding the cane should be flexed at
about 15-30 degree angle (NOT 40 degree angle). Option D is wrong because proper
measurement of a cane has nothing to do with the axillae region (this is applicable only for
crutches).
3. A patient will be using a walker for the first time. You adjust the walker to fit the patient.
Which finding below demonstrates that the walker properly fits the patient?*
A. There is a 2-3 finger width distance between the hand grips of the walker and the wrists.
B. The elbows bend at about a 15-30 degree angle when the patient holds onto the hand grips
of the walker.
C. The patient's back is mid-line with the crossbar of the walker.
D. The crossbar of the walker is even with the greater trochanter. - ANSWER The answer is B.
When a patient holds the hand grips of the walker, the elbows should slightly bend at a 15-30
degree angle.
4. Your patient is prescribed to use crutches for ambulation. The patient can bear partial weight
and needs to be taught how to use the two-point gait while using crutches. Which description
below best describes this type of gait with crutches?*
A. The patient moves both crutches forward and then moves both legs forward to the same
point as the crutches.
B. The patient moves the right crutch (injured side), then moves the left foot (non-injured side),
then moves the left crutch (non-injured side), and then moves the right foot (injured side).
C. The patient moves both the right crutch (injured side) and left foot (non-injured side) forward
together, and then moves the left crutch (non-injured side) and right foot (injured side) forward
together.
D. The patient moves both crutches and injured leg forward together, and then moves the non-
injured leg forward. - ANSWER The answer is C. The two-point gait is where the patient moves
