ATI Fundamentals Proctored Exam
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ATI Fundamentals Proctored Exam
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Question: 1 of 45ATI Fundamentals Proctored Exam
A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?
Explanation
A) The client pushes downward on the handgrips: Pushing downward on the handgrips of the crutches helps the client maintain balance and support, which is crucial for safely using crutches. This action aids in transferring weight and can provide stability during movement. As long as the client does not push too forcefully, this action is appropriate and not a safety risk. B) The client stands in a tripod position prior to walking: The tripod position is a standard stance for crutch walking, where the crutches are placed slightly ahead and wider than the feet to provide a stable base of support. This position helps prevent the client from losing balance before starting to walk and is essential for maintaining safety while ambulating. C) The client places partial weight on the affected leg: In a three-point gait, placing partial weight on the affected leg is a proper and necessary action to maintain the correct gait. This allows for proper distribution of weight between the crutches and the unaffected leg. The partial weight-bearing is often part of the rehabilitation process for clients with an injured or weakened leg. D) The client keeps the elbows in a fixed position: Keeping the elbows in a fixed position during crutch walking can be dangerous, as it limits the client’s ability to adjust their posture or support properly. Flexing the elbows to about 20 to 30 degrees is ideal for balance, shock absorption, and mobility. A fixed elbow position restricts these movements, making it a safety concern because it could lead to muscle strain or decreased control over crutch placement.
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