A nurse is caring for a client on a pediatric unit. Exhibits Drag the words from the choices below to fill in each blank in the following sentence When teaching a client to perform the three-point gait with crutches, the nurse should emphasizedropdown,dropdown anddropdown.
Explanation & Rationale
Rationale for correct choices: Advancing the crutches first: In the three-point gait, both crutches are moved forward before the unaffected leg. Emphasizing this sequence helps maintain balance and prevents falls. Not weight bearing on the affected leg: The three-point gait is designed for clients who cannot bear weight on the injured leg. Reinforcing this ensures the leg heals properly and avoids further injury. Keeping the body weight supported by the hands: Proper weight distribution through the hands prevents pressure on the axilla, reducing the risk of nerve damage and ensuring stability during ambulation. Rationale for incorrect choices: Maintaining a straight back: While good posture is generally beneficial, it is not the primary emphasis in teaching the three-point gait sequence. Using the axilla for support: Supporting weight through the axilla can cause nerve injury; clients should rely on handgrips instead. Bearing all weight on the affected leg: This is contraindicated in the three-point gait as the affected leg is non-weight-bearing until healed.