A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?

Choice A reason: For clients with hemiparesis, the cane should be held on the stronger side (the right side in this case) to provide support for the weaker leg (left leg). This technique helps distribute weight more effectively and enhances stability, making ambulation safer for the client. Choice B reason: Removing the rubber tip from the cane is incorrect and unsafe. The rubber tip provides traction and prevents the cane from slipping on various surfaces. Removing it would increase the risk of falls and injuries, so this instruction should not be included. Choice C reason: The correct technique is to advance the cane and the weaker leg together, not the stronger leg. Advancing the right leg (stronger leg) and the cane together does not provide appropriate support for the weaker leg (left leg) and can compromise balance and stability. Choice D reason: Placing the cane approximately 61 cm (24 in) in front of the feet is too far and impractical. The cane should be placed a reasonable distance (approximately 15-30 cm or 6-12 in) ahead of the feet to maintain balance and stability without overreaching.