The home health nurse visits a client who is rehabilitating after a tibial fracture. Which interventions are appropriate to include in the client's teaching plan to promote safety in the home when using crutches? Select all that apply.

Question

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Interventions to promote safety when using crutches in the home include the following: Keep the environment free of clutter and remove scatter rugs to reduce fall risk (Options A and C) Look forward, not down at the feet, when walking to maintain an upright position, which will help prevent muscle and joint strain, maintain balance, and reduce fall risk (Option B) Use a small backpack, fanny pack, or shoulder bag to hold small personal items (eg, eyeglasses, cell phone), which will keep hands free when walking (Option D) Wear rubber- or non-skid-soled slippers or shoes without laces to reduce fall risk (Option E) Rest crutches upside down on the axilla crutch pads when not in use to prevent them from falling and becoming a trip hazard Keep crutch rubber tips dry. Replace them if worn to prevent slipping. Educational objective: Interventions to promote safety and reduce the risk of falling when using axillary crutches in the home include looking forward when walking, maintaining a clutter-free environment, resting crutches upside down on the axilla pads when not in use, using a small bag to hold personal items, wearing sturdy rubber-soled shoes, and keeping crutches in good repair.

The Home Health Nurse Visits a Client Who Is Rehabilitating