NCLEX RN Practice Question # 477
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Crutch Walking (NCLEX Review)
Description
- An accurate measurement of the client forcrutches is important because an incorrect measurement could damage the brachial plexus.
- The distance between the axillae and the arm pieces on the crutches should be two to three fingerwidths in the axilla space.
- The elbows should be slightly flexed, 20 to 30 degrees, when the client is walking.
- When ambulating with the client, stand on the affected side.
- Instruct the client never to rest the axillae on the axillary bars.
- Instruct the client to look up and outward when ambulating and to place the crutches 6 to 10 inches diagonally in front of the foot.
- Instruct the client to stop ambulation if numbness or tingling in the hands or arms occurs. Crutch gaits
Assisting the client with crutches to sit and stand
- Place the unaffected leg against the front of the chair.
- Move the crutches to the affected side, and grasp the armof the chairwith the hand on the unaffected side.
- Flex the knee of the unaffected leg to lower self into the chair while placing the affected leg straight out in front.
- Reverse the steps to move from a sitting to standing position.
Going up and down stairs
- Up the stairs
- The client moves the unaffected leg up first.
- The client moves the affected leg and the crutches up.
- Down the stairs
- The client moves the crutches and the affected leg down.
- The client moves the unaffected leg down.