Question

A nurse is providing teaching for a client who has a fracture of the right fibula with a short-leg cast in place and a new prescription for crutches. The client is non-weight-bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching?

a. Place the client's weight on the hands while using crutches
b. Support the client's weight under the arms while using crutches
c. Keep the elbows straight when using the crutches
d. Use the crutches on the affected side while ambulating

Answer 1

The nurse should instruct the client to place their weight on the hands, not under the arms, keep elbows slightly bent, and use the crutches on the unaffected side while ambulating with non-weight-bearing instructions for 6 weeks.

Step-by-step explanation:

When providing teaching for a client who has a fracture of the right fibula with a short-leg cast in place and a new prescription for crutches, with non-weight-bearing instructions for 6 weeks, the nurse should include the following instructions:

1. Place the client's weight on the hands while using crutches to avoid pressure under the arms, which can cause nerve damage.
2. Avoid supporting the client's weight under the arms while using crutches for the same reason as above.
3. Keep the elbows slightly bent when using the crutches to allow for proper weight distribution and movement.
4. Use the crutches on the unaffected side while ambulating to maintain balance and support.