A client with left-leg weakness is learning to walk with a cane. Which statement by the client indicates correct understanding?
1I will keep the cane beside my weaker leg and move the stronger leg first
2I will move both feet forward first and then place the cane ahead of me
3I will hold the cane in my right hand and advance it with my left leg✓ Correct answer
4I can use either hand as long as the cane moves after my weak leg
Explanation
The cane is held on the stronger side and advanced with the weaker leg. This creates a wider base of support and transfers some load away from the weak limb before the stronger leg steps through.
Quick answer Hold the cane in the right hand and move it forward with the weak left leg. The stronger side controls the device while the cane supports the weaker side.
Why this is correct Moving the cane with the weaker leg creates two support points during the vulnerable step. The stronger leg then advances through, allowing the client to shift weight more safely while keeping balance and forward movement coordinated.
Easy analogy or mental picture The cane acts like a temporary partner for the weak leg, and the strong hand guides that partner. The image helps with sequencing but does not determine whether a cane is sufficient for every client's balance or weight-bearing restriction.
Memory hook Strong hand holds; cane and weak leg move together; strong leg follows.
NCLEX decision rule For unilateral weakness, place the cane on the stronger side and advance it with the weaker leg. Confirm prescribed weight-bearing limits, cane height, and the client's ability to use the sequence safely.
Why the other choices are wrong Holding the cane on the weak side reduces effective support. Moving both feet before the cane removes the planned support point, and using either hand ignores the mechanical advantage of the stronger side.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
MedlinePlus: Using a CaneU.S. National Library of Medicine