Question

A client has weakness of the lower extremities and uses crutches for mobility. What client behavior should indicate to the nurse that the client needs further teaching about using crutches?

a) Uses the swing-to gait
b) Uses axillary crutches
c) Bears weight on the armpits
d) Replaces rubber tips on the crutches

Answer 1

The client behavior indicating the need for further crutch usage training is bearing weight on the armpits. This can cause nerve damage, and weight should be borne through the arms instead. Other mentioned behaviors are appropriate for crutch usage.

Step-by-step explanation:

A client using crutches for mobility after weakness of the lower extremities needs to use the crutches correctly to avoid further injury. The client behavior that should indicate to the nurse that the client needs further teaching about using crutches is if they bear weight on the armpits. Bearing weight directly on the armpits can cause nerve damage and is not the correct use of crutches. Instead, the client should place the weight on the hands and arms when using crutches. Using axillary crutches, practicing the swing-to gait if advised by a healthcare provider, and replacing rubber tips on the crutches are all appropriate behaviors indicating correct use and safety precautions.