CNA Certification (Written Exam)Restorative SkillsMedium

A CNA is assisting a resident with a weak left leg to ambulate using a quad cane. Which sequence of movements is correct for the resident?

  1. AStrong leg, cane, weak leg.
  2. BWeak leg, cane, strong leg.
  3. CCane, strong leg, weak leg.
  4. DCane and weak leg together, then strong leg.
Show answer & explanation

Correct answer: D. Cane and weak leg together, then strong leg.

When using a cane with unilateral weakness, the cane is moved forward with the weaker leg simultaneously, providing support to that side. Then, the stronger leg steps forward.

Why the other options are wrong

  • A. Moving the strong leg first is incorrect; the cane should advance with the weak leg for support.
  • B. Moving the weak leg first without the cane simultaneously can lead to instability and falls.
  • C. This sequence is incorrect as it places the strong leg before the weak leg with the cane.

Cane Ambulation Sequence

For residents with unilateral weakness using a cane: move the cane and the weak leg forward together, then follow with the strong leg.

  • Cane provides support to the weak side.
  • Move cane and weak leg simultaneously.
  • Strong leg provides propulsion and balance.

Memory trick: Cane and weak advance as one, then strong follows for safety won.

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