A nurse has provided discharge instructions to a client that received a prescription for a walker to use for assistance with ambulation. The nurse determines that the teaching has been effective when the client:
a. Picks up the walker and carries it for short distances
b. Uses the walker only when someone else is present
c. Moves the walker no more than 12 inches in front of the client during use
d. States that a walker will be purchased on the way home from the hospital
Ans: c. Moves the walker no more than 12 inches in front of the client during use
Safety is always a consideration when teaching a client how to use an assistive device. Therefore the correct procedure regarding using a walker is to move the walker no more than 12 inches in front to maintain balance and to be effective in forward movement. Carrying the walker when ambulating is incorrect. Once the client is instructed and can demonstrate correct use of a walker, there is no need for someone to be present every time the client uses the walker. If the client is ordered to use a walker as part of the discharge plan, it needs to be provided before leaving the hospital.
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