Question

the nurse uses gait belts when assisting clients to ambulate. which client would be a likely candidate for this assistive device?

a client with a thoracic incision
a client who has leg strength and can cooperate with the movement
a client who is confined to bed rest
a client who has an abdominal incision

Explanation:

Understand gait belt purpose

Using the Mobility Assistive Devices knowledge point
A gait belt is a safety device used to help transfer or ambulate clients who have some weight-bearing capacity but require assistance with balance or stability.

Evaluate client contraindications

Clients with thoracic or abdominal incisions are poor candidates for gait belts because the belt is secured around the waist, which would place direct pressure, friction, and shear forces on their surgical wounds, causing pain and potential dehiscence.

Evaluate activity level

A client confined to bed rest is not a candidate for ambulation assistance, making a gait belt unnecessary for this purpose.

Identify the ideal candidate

The ideal candidate must have sufficient leg strength to bear weight and be cooperative enough to follow instructions and assist with the movement, ensuring a safe transfer or ambulation process.

Answer:

• A client with a thoracic incision
• A client who has leg strength and can cooperate with the movement (Correct answer)
• A client who is confined to bed rest
• A client who has an abdominal incision