NSG 3130 exam 2 with correct answers
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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. |- |correct |
answers |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. |- |correct |answers |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. |- |correct |answers |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. |- |correct |answers |The |answer |is |C. |The |two-point |gait |is |where |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.
| | | | | |
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. |- |correct |
answers |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. |- |correct |answers |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. |- |correct |answers |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. |- |correct |answers |The |answer |is |C. |The |two-point |gait |is |where |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.
