Review Rationale for Use of Pneumatic Compression Devices Quizlet
Comprehensive assistive device NCLEX questions quiz that assesses your nursing knowledge on crutches, canes, and walkers . As the nurse, you must know how to properly fit a patient for these devices, how to correctly ambulate with these assistive devices, types of gaits (specifically with crutches), go up and down stairs, and how to get upwardly and sit down from a chair.
In the previous NCLEX review series, I explained about other musculoskeletal disorders you may be asked well-nigh on the NCLEX test, so be sure to check out those reviews and quizzes as well.
Check out the review notes for these topics: crutches, canes, walkers
Assistive Devices NCLEX Questions (Crutches, Canes, Walkers)
This quiz volition test your knowledge on assistive devices used by patients for mobility (crutches, canes, walkers).
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Assistive Devices NCLEX Questions
1. Your patient will exist using crutches for mobility. After educating the patient on how to conform 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 manus grips of the crutches the elbow bends at about thirty degrees.
C. The patient has a two-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.
The answers are B and C. Properly fitted crutches should exist a 2-3 finger width (nigh 1-1.5 inches) distance betwixt the axillae (armpit surface area) and the crutch residue pads during ambulation. This prevents damaging the nerves that are located in the axillae during ambulation. In addition, when the patient grips the mitt grips of the crutches the elbow should slightly bend at about thirty degrees. Pick A is wrong because the hand grips of the crutches should be fifty-fifty with the hip line (not the mid-forearm), and selection D is wrong considering the patient should place weight on the Easily while ambulating NOT the axillae area (this can cause nerve damage).
two. Your patient is using a cane for the first time. Before using the pikestaff, y'all appraise that the cane properly fits the patient. Which findings below demonstrate the cane properly fits the patient? Select all that utilise:
A. The arm that is holding the cane is flexed at about a xl degree angle.
B. The pinnacle of the cane is at the level of the greater trochanter.
C. When the patient dangles their arms, the acme of the cane is even with the crease of the wrist closest to the paw.
D. In that location is a 1.five inch gap between the peak of the pikestaff and the axillae.
The answers are B and C. Choice B and C are correct because these are the ii methods used to determine a proper fit for a cane. Option A is wrong considering the arm holding the cane should be flexed at about 15-30 degree angle (NOT 40 caste bending). Option D is wrong because proper measurement of a cane has naught to practice with the axillae region (this is applicative just for crutches).
three. A patient volition exist using a walker for the first time. Y'all adjust the walker to fit the patient. Which finding below demonstrates that the walker properly fits the patient?
A. At that place is a 2-3 finger width distance between the mitt grips of the walker and the wrists.
B. The elbows bend at virtually 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 batten of the walker is even with the greater trochanter.
The respond is B. When a patient holds the hand grips of the walker, the elbows should slightly bend at a 15-30 degree angle.
iv. Your patient is prescribed to use crutches for ambulation. The patient can conduct 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 forrad and so moves both legs forward to the same betoken as the crutches.
B. The patient moves the correct crutch (injured side), then moves the left pes (not-injured side), then moves the left crutch (non-injured side), and and so moves the right foot (injured side).
C. The patient moves both the right crutch (injured side) and left human foot (not-injured side) forward together, and so moves the left crutch (non-injured side) and right pes (injured side) frontward together.
D. The patient moves both crutches and injured leg frontward together, and and so moves the not-injured leg forward.
The answer is C. The 2-point gait is where the patient moves both the right crutch (injured side) and left foot (non-injured side) forrard TOGETHER, and and so moves the left crutch (non-injured side) and right foot (injured side) forward TOGETHER.
5. While your patient is ambulating with crutches he moves both crutches frontwards forth with the injured leg and and then moves the not-injured forward. When yous document you volition notation that the patient used what type of gait while ambulating with crutches?
A. Ii-point gait
B. Three-point gait
C. 4-bespeak gait
D. Swing-to-gait
The reply is B. This describes the three-point gait while using crutches.
six. While using crutches the patient moves both crutches forward and and then moves both legs forward past the placement of the crutches. This is known as the:
A. Two-point gait
B. Swing-to-gait
C. Swing-through-gait
D. Iii-point gait
The answer is C. This description is known as the swing-through-gait. The cardinal give-and-take to permit y'all know it is the swing-through-gait is that the patient moves both legs PAST the placement of the crutches. It would accept been the swing-to-gait if both legs moved frontward to the same point as the crutch placement.
7. While going down the stairs with crutches the patient will move the crutches down onto the step followed past?
A. moving the non-injured leg down onto the stride.
B. moving the injured leg down onto the step.
C. moving both legs downward onto the stride.
The answer is B. When going downwardly the stairs with crutches, the patient will move the crutches down first onto the step followed by moving the INJURED leg and and then the patient will move the non-injured leg down.
8. A patient needs to get up the stairs while using crutches. What finding past the nurse demonstrates the patient understands how to ambulate upstairs with crutches?
A. The patient moves the crutches forward upward the step, then the injured and non-injured leg.
B. The patient moves the non-injured leg forrard onto the step and so the moves the injured leg and crutches upward.
C. The patient moves the injured leg forrard onto the steps, then moves the crutches, and then moves the non-injured leg.
D. The patient moves the crutches and non-injured leg frontwards to the step together, and then the not-injured leg.
The answer is B. The patient volition move the non-injured leg forward onto the step and then will move the injured leg and crutches up.
nine. Your patient attempts to sit in the bedside chair after ambulating in the hallway with crutches. What finding requires y'all to re-educate the patient on how to sit down down in the chair correctly while using crutches?
A. The patient places both crutches on the non-injured side before sitting downwardly in the chair.
B. The patient backs up to the chair'south seat until he feels it with his non-injured leg and stops.
C. The patient keeps the injured leg extended out in front of him while sitting down.
D. The patient holds both crutches on 1 side and reaches for the hand grips on the crutches and places weight on them while sitting downwards.
The answer is A. This requires re-education because the patient should place both crutches on the INJURED SIDE (NOT the non-injured side) before sitting down in the chair. The crutches will help provide weight back up to the injured side while sitting down.
x. When a patient uses a cane to ambulate, the patient will hold the pikestaff on the?
A. Weak side
B. Potent side
C. It does not matter. The patient should choose what side is the well-nigh comfortable for them.
The answer is B. The patient will hold the cane on the strong side (non-injured side).
eleven. Which demonstration past the patient beneath shows that the patient knows how to properly ambulate a cane?
A. The patient holds the pikestaff on the strong side and moves the cane and weak side forward together, and then moves the potent side.
B. The patient holds the cane on the strong side and moves the cane forward, then moves the weak side, and then moves the potent side.
C. The patient holds the cane on the weak side and moves the cane forward, then moves the weak side, and then moves the potent side.
D. The patient holds the pikestaff on the weak side and moves the cane and weak side forrard together, and then moves the strong side.
The answer is A: The patient holds the cane on the strong side and moves the pikestaff and weak side frontward TOGETHER, and so moves strong side.
12. While the patient ambulates in the hallway with a walker, the nurse will make it priority to?
A. stand up on the patient's strong side.
B. stand backside the patient.
C. stand in front of the patient.
D. stand up on the patient's weak side.
The answer is D. The nurse should stand on the patient's weak side while the patient ambulates with a walker.
13. Every bit the nurse, how would you correctly demonstrate to the patient the proper gait while using a walker?
A. Concur onto the walker's hand grips, take a stride forrard with the strong side, so move walker forrard, then take a step with the weak side.
B. Agree onto the walker's paw grips, movement walker forward, then accept a footstep forward with the weak side, and and so accept a footstep forward with the potent side.
C. Concord onto the walker'south hand grips, move walker forward, and so take a step frontward with the strong side, and then take a step forward with the weak side.
D. Concord onto the walker's hand grips, take a stride frontward with the weak side, then move walker forward, and and so take a step with the strong side.
The answer is B: The correct gait with a walker is to: Hold onto the walker'south hand grips, motion walker forrad, then take a step forrard with the weak side, so take a step forward with the stiff side.
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