NCLEX-PN® ExaminationBasic Care and ComfortHard
A client is recovering from a hip fracture repair and is prescribed partial weight-bearing. The LPN is instructing the client on using a walker. Which statement by the client indicates a need for further teaching?
- A''I'll put all my weight through my arms on the walker as I step.''
- B''When sitting down, I should back up to the chair until I feel it against my legs.''
- C''I should move the walker forward a short distance, then step with my injured leg, then my good leg.''
- D''I need to make sure the walker's rubber tips are in good condition.''
Show answer & explanationAnswer & explanation
Correct answer: A. ''I'll put all my weight through my arms on the walker as I step.''
For partial weight-bearing, the client should place some weight on the injured leg, as instructed by the healthcare provider. Putting 'all' weight through the arms on the walker suggests avoiding any weight on the injured leg, which is for non-weight-bearing. It indicates a misunderstanding of the 'partial weight-bearing' instruction.
Why the other options are wrong
- B. This is a correct and safe technique for sitting down with a walker, ensuring the chair is properly positioned before lowering.
- C. This sequence (walker, injured leg, good leg) is the correct progression for using a walker with partial weight-bearing.
- D. Ensuring the walker's rubber tips are in good condition is important for safety and preventing slips.
Walker Use with Partial Weight-Bearing
Using a walker to support mobility while bearing only a prescribed portion of weight on an injured extremity.
- Move walker first, then injured leg, then stronger leg.
- Bear some (partial) weight on the injured leg as instructed.
- Ensure walker height is correct and rubber tips are intact.
Memory trick: Walker leads, injured leg follows with a little touch, then the strong leg finishes.