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    Ati 0926 Beg Med Surg Proctored Exam Cms Equivalent

    Which of the following is a key consideration when fitting crutches for a patient using a three-point gait?

    Explanation & Rationale

    A. Ensure the crutch pads rest directly under the axilla: Crutch pads should be positioned 1–2 inches below the axilla to prevent pressure on the nerves and blood vessels in the armpit, which could cause injury. B. Ensure the patient can bear weight on both legs: A three-point gait is specifically used when one leg is non-weight-bearing, so requiring weight-bearing on both legs is inappropriate. C. Position the crutches so they are 6 inches behind the feet: Crutches should be placed slightly in front and to the side of the feet, not behind, to provide proper balance and prevent falls. D. Adjust the hand grips so the elbows are flexed at 20 to 30 degrees: Proper hand grip adjustment allows the patient to support weight through the hands rather than the axilla, reducing the risk of nerve injury. Correct elbow flexion also ensures optimal leverage and stability while using a three-point gait, promoting safe and effective ambulation.

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