The nurse is reinforcing instructions about crutch walking received from physical therapy, and includes which of the following?
1. Exercise both legs on a regular basis.
2. Going up and down stairs in the home is good exercise.
3. Perform arm-strengthening exercises daily.
4. Support weight with the axilla.
3
Rationale: The client using crutches needs the strength in the arms to help support the body, so arm exercises should be encouraged. The client should be taught stair-walking, but should be cautioned against using the stairs unless it is unavoidable. Exercising the legs is often discouraged in a client with a leg injury requiring crutches. Weight should be supported on the arms, not the axilla, as this can cause nerve damage.
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