NCLEX-PN

Canes, designed to bolster balance and ambulation, are chosen based on clients' physical and cognitive abilities, with preference given to them over walkers when feasible. Different cane types, such as standard one-foot , tripod with three feet , and quad with four feet, cater to diverse needs. Proper sizing is vital, allowing a slightly flexed elbow while holding the cane. Usage involves holding the cane in the hand opposite the required support, aiding the affected limb during ambulation. When greater support than a cane is required, walkers may be favored. These can be wheeled or non-wheeled , with or without brakes , and with optional seats for resting. Non-wheeled walkers require clients to lift and shift the device forward in the direction of movement. When considering wheeled variant walkers it is important to remember that this device may not suit those who cannot control their movement, potentially leading to accidents. Correct fitting ensures that the walker's height matches the client's wrist crease when standing. Battery-powered and manual wheelchairs offer varying levels of assisted mobility. Manual wheelchairs necessitate upper arm strength for propulsion, while battery-powered versions require both manual dexterity and safety awareness. Facility policies might limit battery-powered wheelchair usage due to potential risks. Regardless of type, clients are advised to keep their feet on the footrests and engage brakes during entry and exit. Crutches find utility among individuals with good upper arm strength, particularly for acute musculoskeletal injuries. Different gait patterns, like the two-point, three-point, four-point, swing-through, and swing-to gait , are prescribed based on specific support needs. Proper fitting ensures secure handgrip placement, maintaining slightly bent elbows, and avoiding pressure on the armpits. All assistive devices must be diligently maintained to remain in working order. Ensuring functional brakes on wheelchairs and intact rubber tips on walkers, canes, and crutches prevents accidents. Additionally, clients with artificial limbs—prosthetic devices—benefit from assessment, custom design, and fitting by a prosthetist. Education regarding care, usage, and regular professional check-ups ensures optimal utilization and comfort with these devices.

In summary, this chapter underscores the vital role of assistive devices in promoting client well-being and independence. Nurses must be well-versed in assessing, selecting, instructing, and maintaining these devices to ensure comprehensive and compassionate care. Assisting the Client to Compensate for a Physical or Sensory Impairment Assisting clients in compensating for physical or sensory impairments is a multifaceted aspect of nursing care. As explored in the previous sections, assistive devices cater to a range of needs, including mobility, ambulation, speech, vision, and hearing challenges.

305

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​