Difficulty: Medium
Average Score: 80%
Simulated
A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care?
Correct answer
A
Rationale
The correct answer is A: Remind the client to place the cane on the unaffected side. Placing the cane on the unaffected side provides maximum support and stability for the client during ambulation. The cane should be held on the side opposite the affected or weaker extremity. This helps to shift weight off the weaker side, reducing the risk of falls and promoting safe mobility.
Choice B is incorrect because the cane should be adjusted to the height of the client, not the distance from the iliac crest to the floor. Choice C is incorrect because removing the rubber tip from the cane decreases traction and stability. Choice D is incorrect as the cane should be readily accessible for the client to use when needed, not placed in a closet during naps or bedtime.
Choice B is incorrect because the cane should be adjusted to the height of the client, not the distance from the iliac crest to the floor. Choice C is incorrect because removing the rubber tip from the cane decreases traction and stability. Choice D is incorrect as the cane should be readily accessible for the client to use when needed, not placed in a closet during naps or bedtime.