The nurse is instructing a patient with a left fractured tibia how to walk with crutches. Which instruction would be appropriate?
A) Use the axillae to help carry the weight.
B) All weight should be on the hands.
C) Keep feet 11" (28 cm) apart to provide stability and a wide base of support.
D) Take long strides to maintain maximum mobility.
Ans: B
Feedback: When using crutches, all weight should be on the hands. Constant pressure on the axillae from weight bearing can damage the brachial plexus nerve and produce crutch paralysis. Feet should be 6" to 8" (15 to 20 cm) apart to provide stability and support. Short strides, not long ones, provide safety and maximum mobility.
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