A client with a left leg fracture is to be taught the three-point gait before discharge. Which instruction should the nurse give to this client?

  1. "your right crutch, swing the left foot forward, advance the left crutch, and then bring the right foot forward."
  2. "Move your right crutch and left foot forward together, and then swing the right foot and left crutch in one movement."
  3. "While partially bearing weight on your left leg, advance both crutches and then bring your right leg forward."
  4. "Using one movement, advance your left foot and both crutches and then bring right leg forward."
Explanation

Answer: D - In the three-point gait, both crutches and the affected "badâ" leg and foot move together, with the unaffected "good" leg and foot following. Choices A and B are incorrect because the crutches are moved simultaneously, not independently. Choice C is incorrect because the client should not bear weight on the fractured leg when using the three-point gait.

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