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, Question 1
Your patient will be using crutches for mobility. After educating the patient on how to adjust the crutches to fit
correctly, you assess how well the patient understood the instructions. What findings demonstrate that the crutches
were adjusted correctly by the patient? Select all that apply:*
A. The hand grips of the crutches are even with the mid-forearm.
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.
Correct Answer
The answers are B and C. Properly fitted crutches should be a 2-3 finger width (about 1-1.5 inches) distance between
the axillae (armpit area) and the crutch rest pads during ambulation. This prevents damaging the nerves that are
located in the axillae during ambulation. In addition, when the patient grips the hand grips of the crutches the elbow
should slightly bend at about 30 degrees. Option A is 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 weight on the
HANDS while ambulating NOT the axillae area (this can cause nerve damage).
Question 2
Your patient is using a cane for the first time. Before using the cane, you assess that the cane properly fits the patient.
Which findings below demonstrate the cane properly fits the patient? Select all that apply:*
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.
Correct Answer
The answers are B and C. Option B and C are correct because these are the two methods used to determine a proper
fit for a cane. Option A is wrong because the arm holding the cane should be flexed at about 15-30 degree angle
(NOT 40 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).
Question 3
A patient will be using a walker for the first time. You adjust the walker to fit the patient. Which finding below
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.
Correct Answer
The answer is B. When a patient holds the hand grips of the walker, the elbows should slightly bend at a 15-30
degree angle.
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