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    Nclex-Rn Readiness Test 6Question 81
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    Adult Health

    17-year-old male arrives at the emergency department following playing baseball. He slid into a base, felt a ‘pop’, and had pain in his right ankle. The client reports pain of 7 out of 10 in his right ankle, which is described as throbbing. Right pedal pulse was 2+, and the sensation was intact. The client had a limited and painful range of motion in his ankle. Significant swelling and bruising in the ankle were observed.

    The client does not have a medical or surgical history. He takes no medications.

    X-Ray: bimalleolar fracture of the right ankle

    • Crutches
    • Non-weight bearing status
    • Apply a splint to the ankle
    • Oxycodone-Acetaminophen 5/325 mg PO

    The emergency department nurse cares for a client with right ankle pain.

    ➢ Complete the following sentence from the list of options.

    While teaching the client how to use crutches, the nurse should instruct the client to ambulate using the [two-point gait / three-point gait / four-point gait] based on the client’s [ankle having to be splinted. / non-weight bearing status. / prescribed pain medication.]

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