The nurse is discharging a patient from the emergency department. The patient will need to walk with crutches for a sprained ankle. What should the nurse do to ensure that the patient will safely use the crutches at home?
1. Instruct a family member on the use of the crutches and suggest that he or she access the Internet for any questions.
2. Demonstrate the use of the crutches while the patient observes from the wheelchair.
3. Demonstrate the use of the crutches and ask for a return demonstration before discharge.
4. Provide a written handout on the use of crutches.
3
Rationale 1: Instructing the family on the use of crutches and referring them to the Internet for any questions is inappropriate.
Rationale 2: Demonstrating the use without a return demonstration will not assess the patient's understanding.
Rationale 3: Discharge instructions are an important part of the care emergency nurses provide. The best way for the nurse to assess if the patient understands the instructions about crutch use would be for the nurse to demonstrate and then ask the patient to return the demonstration.
Rationale 4: A written handout might not be enough for the patient. It also does not ensure that instructions are understood.
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