Question

A nurse is providing teaching to a client who has severe weakness in their right lower extremity and is learning to walk using a cane. Which of the following actions by the client indicate an understanding of the teaching?

a. the client moves the cane forward before taking a step
b. The client holds the cane on their weaker side
c. The client moves their stronger leg before moving their weaker leg
d. the client keeps their elbow straight when holding on to the cane

Answer 1

The client shows understanding of using a cane by holding it on the stronger side, moving it forward before stepping with the weaker leg, and keeping a slight bend in the elbow.

Step-by-step explanation:

When learning to walk with a cane due to severe weakness in the right lower extremity, it is essential for the client to demonstrate a proper understanding of the use of the cane. The correct actions would include holding the cane on the stronger side, which is the left side in this scenario, and not the weaker side. The client must move the cane forward before taking a step with the weaker leg. This offers greater stability by widening the base of support and ensuring the center of gravity remains stable. Furthermore, when moving, the client should advance the weaker leg first along with the cane, then move the stronger leg. It is important not to keep the elbow completely straight; rather, there should be a slight bend to maintain flexibility and ease of movement.