NCLEX-PN® ExaminationBasic Care and ComfortEasy
A licensed practical nurse (LPN) is assisting a client with ambulation who has a history of falls and generalized weakness. Which assistive device is most appropriate for promoting the client's safety and independence?
- ACrutches
- BSingle-point cane
- CStandard walker
- DQuad cane
Show answer & explanationAnswer & explanation
Correct answer: C. Standard walker
For a client with generalized weakness and a history of falls, a standard walker offers the widest base of support and stability, making it the most appropriate device for safe ambulation.
Why the other options are wrong
- A. Crutches require significant upper body strength and coordination, which may not be present in a client with generalized weakness.
- B. A single-point cane offers limited support and is not sufficient for generalized weakness and fall risk.
- D. A quad cane offers more support than a single-point cane but less than a walker, and may still be insufficient for generalized weakness and fall risk.
Assistive Devices for Ambulation
Devices like canes, walkers, and crutches aid in mobility, reduce weight-bearing, and enhance balance for clients with impaired ambulation.
- Selection depends on client's strength, balance, and weight-bearing status.
- Walkers provide the most stability.
- Crutches require upper body strength.
Memory trick: Walkers for Weakness, Canes for Control, Crutches for Core.