Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A ten-year-old patient has a long leg cast applied to her left leg. She is being instructed in crutch-walking with no weight bearing on her left leg. Which of the following observations indicates that the patient needs further teaching?
  1. She is supporting her weight on the axillary bar and hand pieces of the crutches
  2. She places the crutches approximately six-eight inches in front of her with each step
  3. Her elbows are slightly flexed
  4. She is using the three-point gait
Explanation
Answer - A - Observation that indicates the patient needs further teaching is when she is supporting her weight on the axillary bar and hand pieces of the crutches. The axilla should not rest on the crutches. Such pressure may cause discomfort and nerve damage. The weight of the body should be borne by the hands.
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