Question

the nurse cares for an older adult client following a total hip arthroplasty. the health care provider prescribes a standard walker for the client to use when ambula which information will the nurse provide to the client regarding the use of the walker? 1. \sit in a low chair and slowly pull up on the walker to stand.\ 2. \advance the walker first, then carefully walk forward.\ 3. \lean forward over the walker for balance when ambulating.\ 4. \keep your arms straight when placing your weight on the handgrips.\

Explanation:

• Option 1: Sitting in a low chair and pulling up on the walker to stand is incorrect. A high - seated chair is better for hip arthroplasty patients to avoid hip flexion greater than 90 degrees. Pulling up on the walker can cause instability.
• Option 2: When using a walker, the correct procedure is to advance the walker first (to create a stable base) and then carefully walk forward. This ensures balance and safety.
• Option 3: Leaning forward over the walker can cause poor posture and may lead to falls. The client should stand upright while using the walker.
• Option 4: Arms should be slightly bent (about 15 - 30 degrees) when placing weight on the handgrips. Straight arms do not provide the best shock absorption and can lead to shoulder and elbow strain.

Answer:

1. "Advance the walker first, then carefully walk forward."