When instructing a patient with a right lower extremity injury to ascend stairs using axillary crutches, which sequence is appropriate?

Instructing a patient with a right lower extremity injury on how to ascend stairs using axillary crutches involves ensuring both safety and efficiency in movement. The correct sequence is to advance the left lower extremity first, followed by both the crutches and the injured right lower extremity together.

This sequence is appropriate because it allows the patient to use the stronger, unaffected limb (the left lower extremity) to step up first. By doing this, the left leg can bear the patient's weight, providing stability while the crutches are positioned onto the step. Advancing the right lower extremity together with the crutches afterward allows for a safe transition, ensuring that the patient maintains balance and minimizes the risk of falls.

This strategy supports proper movement mechanics and maintains safety during the task, especially when navigating stairs, which can present a risk due to the uneven surfaces and the need for balance.