MRCP UK EXAMINATIONS

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NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient learning to ambulate with crutches advances both crutches and then lifts both feet, moving them forward and landing them in front of the crutches. The patient then repeats this motion. The nurse identifies this as which type of crutch gait?
A
3-point
B
Swing-through
C
4-point
D
Swing-to
Explanation: 

Detailed explanation-1: -The four point crutch walk is used by only patients who can bear weight on both legs.

Detailed explanation-2: -Four-Point Gait This is most commonly used to provide assistance with walking when both legs are in a weakened condition. To use this gait, put the right crutch out and step with the left foot. Then put the left crutch out and step with your right foot. The pattern is right crutch-left foot and left crutch-right foot.

Detailed explanation-3: -One of the best ways to reduce the risk of developing contractures is to perform regular stretching. Frequent, gentle stretching of the affected muscles allows these muscles to elongate, especially when the stretch is held for at least 15-30 seconds.

Detailed explanation-4: -To facilitate walking with crutches, what is the most important activity the nurse should teach the client? Exercise the triceps, finger flexors, and elbow extensors.

There is 1 question to complete.
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