A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Vital Signs 

0800: 

Blood pressure 112/64 mm Hg 

Heart rate 80/min 

Respiratory rate 18/min 

Temperature 37.1° C (98.8" F 

Oxygen saturation 97% on room air 

08151 

Blood pressure 106/54 mm Hg Heart rate 100/min 

Respiratory rate 22/min Temperature 37° C (98,6°F) 

Oxygen saturation 95% on room air

Complete the following sentence by using the lists of options.
The client has manifestations of

an , as evidenced by the

A. "Keep your knees in a locked position when standing for prolonged periods." This instruction is incorrect. Keeping knees locked can lead to muscle fatigue and increased risk of injury during prolonged standing.
B. "Bend at the waist when lifting a heavy object." This instruction is incorrect. Bending at the waist during lifting can strain the lower back and increase the risk of back injuries.
C. "Keep your feet close together when lifting a heavy object." This instruction is incorrect.
Keeping feet close together can make the base unstable and increase the risk of falling or losing balance during lifting.
D. "When lifting a heavy object, keep it close to your body." Correct. Keeping the heavy object close to the body while lifting helps reduce strain on the back and minimizes the risk of injury. This technique allows the body's core muscles to better support the weight.

A. Ask a family member who speaks the client's primary language to interpret: While involving family members may seem helpful, it is not the most effective way to ensure accurate and complete communication. There may be language barriers or misunderstandings.
B. Plan a long teaching session initially to introduce the necessary material: Lengthy teaching sessions may overwhelm the client and reduce their ability to absorb and retain information, especially when there is a language barrier.
C. Provide the least important information first: This approach is not recommended because it does not prioritize the client's understanding of essential preoperative instructions.
D. Provide handouts written in the client's primary language: Correct. Providing written materials in the client's primary language allows them to review the information at their own pace and increases the likelihood of understanding important preoperative instructions.