A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)

Avoid prolonged sitting.

Sleep in a side-lying position with flexed knees.

Sleep on a soft mattress.

Try padded shoe insoles.

Apply heat for 10 min every hour.

Answer and Explanation

Correct Answer : A,B,D,E

A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.

B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.

D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.

E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.

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Correct Answer is D

Explanation

A. Rowing - This activity can put strain on the lower back and may exacerbate low back pain.

B. Tennis - This sport involves a lot of twisting and sudden movements, which can potentially worsen low back pain.

C. Canoeing - While generally a low-impact activity, it still requires core stability which could potentially aggravate low back pain.

D. Swimming - Swimming is a highly recommended exercise for individuals with low back pain. It is a low-impact activity that helps strengthen the muscles in the back, as well as other parts of the body, without putting excessive strain on the spine. Additionally, the buoyancy of water provides support, reducing the impact on the joints.

A. Fat embolism syndrome B. Pulmonary embolism C. Acute compartment syndrome D. Osteomyelitis

Correct Answer is C

Explanation

A. Fat embolism syndrome - This is characterized by respiratory distress, altered mental status, and petechial rash. It is not associated with increasing edema.

B. Pulmonary embolism - This occurs when a blood clot (usually from the legs) travels to the lungs and can present with symptoms like chest pain, shortness of breath, and rapid heart rate. It is not associated with increasing edema around a fracture site.

C. Acute compartment syndrome - This is a serious condition that occurs when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and necrosis. Increasing edema is an early sign of compartment syndrome.

D. Osteomyelitis - This is an infection of the bone and is not typically associated with increasing edema around a fracture site. It may present with local signs of infection like warmth, redness, and tenderness.

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A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?

Correct Answer is D

Explanation

A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?

Correct Answer is C

Explanation

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