Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
The home health nurse is caring for a 67-year-old female client with progressive multiple sclerosis.Item 5 of 6
Current Medications
Nurses' Notes
ÔÇó cephalexin 500 mg p.o. every six hours for 10 days
ÔÇó diazepam 5 mg p.o. daily PRN muscle spasm
ÔÇó multivitamin 1 tablet daily
ÔÇó ergocalciferol 10,000 international units p.o. Daily
Which of the following instructions should the nurse include when teaching the client how to ambulate with a walker? Select all that apply.
Correct answer
A,D
Rationale
The walker should align with the wrist crease for proper height, and using chair armrests ensures safe standing. Leaning over the walker risks imbalance, and the walker follows the stronger leg on stairs.