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Rationale:
Answer: 2 Rationale: Crutches are measured so that the tops are 2 to 3 fingerwidths from the axillae. This ensures that the client’s axillae are not resting on the crutch or bearing the weight of the crutch, which could result in injury to the nerves of the brachial plexus. Although the conditions in options 1, 3, and 4 can occur, they are not the most likely result from resting the axilla directly on the crutches.
Additional Info:
Test-Taking Strategy: Note the strategic words, most likely, and focus on the data in the question. Recalling the risk associated with brachial nerve plexus injury will direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological
Integrity Integrated Process: Teaching and Learning
Content Area: Adult Health: Musculoskeletal
Health Problem: Adult Health: Musculoskeletal: Skeletal Injury
Priority Concepts: Client Education; Safety
Reference: Potter et al. (2017), pp. 806-807.
Practice Question Sourced From: Saunders Comprehensive Review for the NCLEX-RN® Examination, 8th Edition