Exam Guide

Crutch Teaching: Findings That Show Understanding

Physiologic Needs · Question from the ATI PN Fundamentals 2023 Proctored Exam study set

Question: Which findings indicate the client understands crutch teaching? (Select 3)

Correct answers:

  • Three-point crutch gait observed
  • Client bears weight on the unaffected leg
  • During swing-through, the client bears weight on the hand grips

Why this is the answer

Correct crutch technique keeps weight off the affected extremity, distributes weight through the palms/hand grips rather than the axillae (preventing brachial plexus/nerve injury), and demonstrates the proper three-point gait pattern during the swing-through phase.

The bigger concept

Crutch teaching evaluation is about what you observe, not what the client says. Correct technique keeps all weight off the affected leg, carries weight through the hands rather than the axillae (pressure there causes crutch palsy from brachial plexus injury), keeps the crutch pads 2–3 finger widths below the axillae, and uses the gait pattern that matches the weight-bearing order.

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