educating the patient on how to adjust the crutches to fit (about 1-1.5 inches) distance between the axillae (armpit area) and the crutch rest
correctly, you assess how well the patient understood the pads during ambulation. This prevents damaging the nerves that are located in
instructions. What findings demonstrate that the crutches the axillae during ambulation. In addition, when the patient grips the hand grips
were adjusted correctly by the patient? Select all that of the crutches the elbow should slightly bend at about 30 degrees. Option A is
apply:* wrong because the hand grips of the crutches should be even with the hip line
(not the mid-forearm), and option D is wrong because the patient should place
A. The hand grips of the crutches are even with the mid- weight on the HANDS while ambulating NOT the axillae area (this can cause
forearm. nerve damage).
B. When the patient grips the hand grips of the crutches
the elbow bends at about 30 degrees.
C. The patient has a 2-3 finger width distance between
the axillae and crutch rest pad.
D. The patient places weight on the axillae rather than
the hands while ambulating.
,2. Your patient is using a cane for the first time. Before The answers are B and C. Option B and C are correct because these are the two
using the cane, you assess that the cane properly fits the methods used to determine a proper fit for a cane. Option A is wrong because the
patient. Which findings below demonstrate the cane arm holding the cane should be flexed at about 15-30 degree angle (NOT 40
properly fits the patient? Select all that apply:* degree angle). Option D is wrong because proper measurement of a cane has
nothing to do with the axillae region (this is applicable only for crutches).
A. The arm that is holding the cane is flexed at about a
40 degree angle.
B. The top of the cane is at the level of the greater
trochanter.
C. When the patient dangles their arms, the top of the
cane is even with the crease of the wrist closest to the
hand.
D. There is a 1.5 inch gap between the top of the cane
and the axillae.
3. A patient will be using a walker for the first time. You The answer is B. When a patient holds the hand grips of the walker, the elbows
adjust the walker to fit the patient. Which finding below should slightly bend at a 15-30 degree angle.
demonstrates that the walker properly fits the patient?*
A. There is a 2-3 finger width distance between the hand
grips of the walker and the wrists.
B. The elbows bend at about a 15-30 degree angle when
the patient holds onto the hand grips of the walker.
C. The patient's back is mid-line with the crossbar of the
walker.
D. The crossbar of the walker is even with the greater
trochanter.
, 4. Your patient is prescribed to use crutches for The answer is C. The two-point gait is where the patient moves both the right
ambulation. The patient can bear partial weight and crutch (injured side) and left foot (non-injured side) forward TOGETHER, and
needs to be taught how to use the two-point gait while then moves the left crutch (non-injured side) and right foot (injured side) forward
using crutches. Which description below best describes TOGETHER.
this type of gait with crutches?*
A. The patient moves both crutches forward and then
moves both legs forward to the same point as the
crutches.
B. The patient moves the right crutch (injured side), then
moves the left foot (non-injured side), then moves the
left crutch (non-injured side), and then moves the right
foot (injured side).
C. The patient moves both the right crutch (injured side)
and left foot (non-injured side) forward together, and
then moves the left crutch (non-injured side) and right
foot (injured side) forward together.
D. The patient moves both crutches and injured leg
forward together, and then moves the non-injured leg
forward.