The nurse is observing a patient learning to use crutches. Which observation would prompt the nurse to reinforce teaching about crutch walking?
1. The axillary crutches have been sized so they do not touch the patient's axilla.
2. The patient using axillary crutches places the weight on the palms of the hands when walking.
3. The cuff of the patient's forearm crutch fits just above the elbow.
4. The patient places only part of the weight on forearm crutches.
3
Rationale 1: Crutches should not touch the axilla but should be four finger widths below the axilla.
Rationale 2: The patient's weight should be carried on the palms of the hands, not the axilla.
Rationale 3: The cuff of a forearm crutch should fit just below the elbow.
Rationale 4: Forearm crutches are not designed to carry all of the body's weight.
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