A client is ambulating with a two-wheeled walker by rolling the walker forward and then moving each foot forward. The nurse notes that the client's elbows are slightly flexed when grasping the hand bar. After the client returns to the chair, what action should the nurse implement?

A client is ambulating with a two-wheeled walker by rolling the walker forward and then moving each foot forward. The nurse notes that the client's elbows are slightly flexed when grasping the hand bar. After the client returns to the chair, what action should the nurse implement?

• A. Offer to adjust the height of the walker.
• B. Encourage the client to continue using the walker as observed.
• C. Demonstrate more coordinated movement of the legs and walker.
• D. Explain the need to remove the wheels from the walker.

Answer: (B)

Using a front-wheeled walker safely relies on a posture that allows the arms to be relaxed with the elbows flexed and the walker bearing some of the load as you push it forward and then advance the legs. When the elbows are slightly flexed, it shows a comfortable grip and good alignment that supports balance and energy-efficient movement. Seeing this client push the walker forward and then move each foot, with elbows in that slight flexion, indicates proper technique. The best next step is to encourage the client to continue using the walker as observed, reinforcing safe, independent mobility. There’s no need to adjust the height since the elbow angle is appropriate, and removing wheels or trying to change coordination isn’t indicated because the current pattern already appears safe and effective.

Using a front-wheeled walker safely relies on a posture that allows the arms to be relaxed with the elbows flexed and the walker bearing some of the load as you push it forward and then advance the legs. When the elbows are slightly flexed, it shows a comfortable grip and good alignment that supports balance and energy-efficient movement.

Seeing this client push the walker forward and then move each foot, with elbows in that slight flexion, indicates proper technique. The best next step is to encourage the client to continue using the walker as observed, reinforcing safe, independent mobility. There’s no need to adjust the height since the elbow angle is appropriate, and removing wheels or trying to change coordination isn’t indicated because the current pattern already appears safe and effective.