Question

which ambulatory aid could a nurse suggest to assist a client who has weakness in one side of their body?

axillary crutch
forearm crutch
cane
walker

Explanation:

Analyze the client's clinical presentation

The client presents with weakness on one side of their body (hemiparesis). This unilateral weakness requires an assistive device that can compensate for the deficit on the affected side while being held and operated by the strong, unaffected hand.

Evaluate the suitability of each assistive device

Using the Mobility Assistive Devices knowledge point:

• Axillary and forearm crutches require bilateral upper body strength, coordination, and the functional use of both arms to stabilize the client, making them inappropriate for unilateral weakness.
• A walker provides maximum stability but requires the functional use of both hands and arms to push and advance the device safely.
• A cane is designed specifically to support clients with unilateral weakness. It is held on the strong (unaffected) side to provide support and balance, shifting weight away from the weak (affected) side.

Apply clinical rationale for hemiparesis support

Using the Hemiparesis Support knowledge point:

• When a client has one-sided weakness, a cane is the most appropriate choice because it can be held in the hand opposite the weak side.
• This placement creates a wider base of support and mimics the normal reciprocal gait pattern, ensuring safety and promoting independence.

Answer:

• axillary crutch
• forearm crutch
• cane (Correct answer)
• walker