A nurse is teaching a client about using a cane for ambulation. Which of the following statements should the nurse make?

Choice A reason: Advancing the cane 12 inches is not a universal rule, as the distance depends on the client’s stride length and balance needs. Typically, the cane advances 6-10 inches with the unaffected leg to provide optimal support. A fixed 12-inch instruction may lead to instability, making this an incorrect teaching statement. Choice B reason: Holding the cane on the affected side reduces stability, as it fails to support the weaker leg during weight-bearing. The cane should be held on the unaffected side to provide a stable base, improving balance and reducing fall risk, making this an incorrect instruction for safe cane use. Choice C reason: Keeping the cane at the same level as the affected leg when climbing stairs is incorrect. The cane moves with the unaffected leg first when ascending and with the affected leg when descending to ensure support. This vague instruction does not reflect proper stair-climbing technique, making it incorrect. Choice D reason: Moving the unaffected leg first, alongside the cane, provides a stable base for the affected leg to follow, enhancing balance and reducing fall risk. This technique leverages the stronger leg’s strength and the cane’s support, making it the correct instruction for safe ambulation in clients with unilateral weakness.