A client with a weaker left leg is learning to walk with a standard walker and may bear weight as tolerated. Which technique demonstrates correct use?
1Pull on the walker to stand, move the stronger leg first, and advance the frame before checking stability
2Advance the walker, ensure all tips are stable, step with the weaker leg, then the other leg✓ Correct answer
3Keep the walker an arm's length ahead while moving both feet together toward the frame
4Look down at both feet and lift the walker while stepping with the stronger leg first
Explanation
The client advances the walker, confirms that all tips are stable, steps with the weaker leg, and then advances the stronger leg. Pulling on the walker to stand or placing it too far ahead increases instability and fall risk.
Quick answer Move the walker first, stabilize it, step with the weaker leg, and then bring the stronger leg forward.
Why this is correct The stable walker supports body weight while the weaker leg advances. The stronger leg then moves after the client has a secure base, which reduces loss of balance and follows the taught gait sequence.
Easy analogy or mental picture The walker acts like a movable handrail: place the support securely before moving the weaker side. The comparison explains sequencing, but weight-bearing limits and device type must follow the rehabilitation plan.
Memory hook Support first, weak leg next, strong leg last.
NCLEX decision rule For walker questions, choose a technique that keeps the device close, places every tip securely, follows the prescribed weight-bearing status, and moves the weaker leg before the stronger leg during level walking.
Why the other choices are wrong Pulling on a walker can tip it during standing. Reaching too far forward or looking down reduces stability, and moving the stronger leg before establishing support for the weaker side disrupts the safe sequence.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
Using a WalkerMedlinePlus, U.S. National Library of Medicine
Clinical Practice GuideFor Dysphagia aspiration precautions, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
CautionDo not choose an action from one isolated cue when the full scenario changes priority or safety.
Dysphagia — Difficulty swallowing that can occur after stroke or other conditions.
Aspiration — Entry of food, fluid, or secretions into the airway.
Texture Modification — Changing food or liquid consistency to improve swallowing safety.