Crutches: Types, Indications, and Assessment

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Questions and Answers

A patient with a lower extremity fracture is prescribed axillary crutches. What is the MOST important factor to consider when fitting these crutches?

Adjusting the crutch height so there is a 1-2 inch space between the armpit and the top of the crutch. (correct)
Ensuring the top of the crutch presses firmly into the armpit for maximum stability.
Ensuring the crutch extends at least 4 inches beyond the patient's height to provide adequate support.
Positioning the handgrip to allow for full elbow extension.

A patient is using a three-point gait with crutches following a unilateral leg injury. Which instruction is MOST crucial for safe and effective ambulation?

Advance the unaffected leg first, then move both crutches forward.
Advance the affected leg first, followed by both crutches.
Advance both crutches and the affected leg simultaneously, then move the unaffected leg forward. (correct)
Alternate advancing each crutch independently, followed by the affected leg.

A patient preparing to sit down using crutches should be instructed to:

Keep the affected leg elevated behind them, hold both crutches on the unaffected side, and reach back for the chair. (correct)
Place the affected leg forward, hold both crutches on the affected side, and reach back for the chair with the free hand.
Place both crutches in front of the chair for support, extend the affected leg, and lower themselves using both arms.
Position the unaffected leg forward, hold one crutch in each hand for balance, and sit down abruptly.

A patient with a non-weight-bearing order is using crutches. How should the patient be instructed to manage stairs if a handrail is unavailable?

Face the stairs, hold both crutches, and hop up or down each step with the strong leg, bringing the crutches up to that step each time. (A) Signup and view all the answers

What is the purpose of toe-touch weight-bearing (TTWB) when using crutches?

To provide minimal balance support without bearing significant weight on the affected leg. (A) Signup and view all the answers

A patient using axillary crutches reports numbness and tingling in their hands and fingers. What is the MOST appropriate initial intervention?

Assess the crutch fit and gait, ensuring the patient is not leaning on their armpits and that their wrists are properly aligned. (D) Signup and view all the answers

Which exercise would be MOST appropriate to recommend to a patient using crutches to maintain upper body strength?

Bicep curls (A) Signup and view all the answers

A patient is transitioning from non-weight-bearing (NWB) to weight-bearing as tolerated (WBAT) on the affected leg. What is the MOST important instruction to provide during this transition?

Instruct the patient to gradually increase weight on the affected leg while monitoring their pain level and stability. (C) Signup and view all the answers

A patient using crutches at home is experiencing frequent skin irritation under their arms. What should the nurse recommend FIRST?

Use padding on the axillary area of the crutches and ensure the skin is clean and dry. (D) Signup and view all the answers

A patient with a leg fracture is learning to use a two-point gait with forearm crutches. Which statement BEST describes this gait?

Move one crutch and the opposite leg forward simultaneously, then the other crutch and leg simultaneously. (A) Signup and view all the answers

A patient is being discharged home with axillary crutches after a total hip arthroplasty. What is the MOST important home modification to recommend to prevent falls?

Remove throw rugs or secure them with tape to eliminate tripping hazards. (B) Signup and view all the answers

A patient expresses frustration and sadness about using crutches for an extended period. Which nursing intervention is MOST appropriate?

Acknowledge the patient's feelings and connect them with support groups or resources. (A) Signup and view all the answers

What information should ALWAYS be documented regarding a patient's crutch use?

The type of crutches used, gait pattern, and weight-bearing status. (B) Signup and view all the answers

Which of the following actions indicates a LACK of understanding regarding crutch safety?

The patient leans on the armpits rather than using their hands for weight support when using axillary crutches. (C) Signup and view all the answers

When ascending stairs with crutches and a handrail, which leg should lead, and what should the crutches do?

The unaffected leg should lead, with the crutches moving up to the same step simultaneously. (C) Signup and view all the answers

Flashcards

What are crutches?

A mobility aid that transfers weight from the legs to the upper body to aid in walking when weight-bearing is limited.

What are axillary crutches?

Crutches that fit under the armpits and extend to the ground for weight transfer.