Questions: A nurse is reinforcing teaching to a client who has a fractured ankle and is learning to walk up stairs. Identify the sequence of actions the client should be taught when using a modified 3-point crutch gait. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.) Client shifts weight from crutches to the unaffected leg. Client transfers body weight to the crutches. Client advances the unaffected leg between the crutches. Client stands, bearing weight on unaffected leg. Client aligns crutches on the stair.

A nurse is reinforcing teaching to a client who has a fractured ankle and is learning to walk up stairs. Identify the sequence of actions the client should be taught when using a modified 3-point crutch gait. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)

Client shifts weight from crutches to the unaffected leg.

Client transfers body weight to the crutches.

Client advances the unaffected leg between the crutches.

Client stands, bearing weight on unaffected leg.
Client aligns crutches on the stair.
Transcript text: A nurse is reinforcing teaching to a client who has a fractured ankle and is learning to walk up stairs. Identify the sequence of actions the client should be taught when using a modified 3-point crutch gait. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.) Client shifts weight from crutches to the unaffected leg. Client transfers body weight to the crutches. Client advances the unaffected leg between the crutches. Client stands, bearing weight on unaffected leg. Client aligns crutches on the stair.
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Solution

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The sequence of actions the client should be taught when using a modified 3-point crutch gait to walk up stairs is as follows:

  1. Client aligns crutches on the stair.
  2. Client transfers body weight to the crutches.
  3. Client advances the unaffected leg between the crutches.
  4. Client shifts weight from crutches to the unaffected leg.
  5. Client stands, bearing weight on unaffected leg.
Explanation:
  1. Client aligns crutches on the stair:

    • The first step is to ensure that the crutches are properly positioned on the stair to provide stability and support.
  2. Client transfers body weight to the crutches:

    • The client should then transfer their body weight onto the crutches to prepare for moving the unaffected leg.
  3. Client advances the unaffected leg between the crutches:

    • The client should move the unaffected leg forward, placing it between the crutches. This step is crucial for maintaining balance and preparing to shift weight.
  4. Client shifts weight from crutches to the unaffected leg:

    • After advancing the unaffected leg, the client should shift their weight from the crutches to the unaffected leg, ensuring stability.
  5. Client stands, bearing weight on unaffected leg:

    • Finally, the client should stand up straight, bearing weight on the unaffected leg, which completes the movement up the stair.

This sequence ensures that the client maintains balance and stability while using the crutches to navigate stairs safely.

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