A nurse is preparing to administer digoxin 5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number, Use leading zero if it applies. Do not use a trailing zero.)

A) They bend at the ho when lifting:
This statement seems to be a typographical error, but it likely refers to "bending at the hips" when lifting. While bending at the hips can help reduce strain on the back, it is not the ideal body mechanic for lifting heavy objects. Proper lifting techniques involve bending at the knees, not the hips, to maintain proper alignment and reduce the risk of injury to the lower back. The correct form would be to squat down using the legs and keeping the back straight.

B) They keep their feet together when lifting an object:
Keeping the feet together when lifting an object is not advisable. The nurse should keep their feet shoulder-width apart for stability when lifting heavy objects. This wide stance provides a stable base and helps prevent loss of balance or strain during the lift. Keeping feet together would increase the risk of losing balance and possibly causing injury.

C) They stand close to the object being moved:
Standing close to the object being moved is the correct body mechanic. When lifting, the nurse should position themselves close to the object to minimize the leverage needed to lift it. By maintaining a short distance from the object, the nurse can use their legs to lift rather than relying on their back, which helps reduce the risk of back strain or injury.

D) They twist their spine when lifting:
Twisting the spine when lifting is a dangerous action that increases the risk of back injury. Proper body mechanics require that the nurse keep the back straight and avoid twisting the spine during the lift. Instead, they should rotate their whole body, moving their feet to turn, rather than twisting the spine. Twisting puts unnecessary stress on the spinal discs and can lead to muscle strain or injury.

A) Place the client on a low-fiber diet:
A low-fiber diet is not recommended for patients experiencing constipation. Fiber plays a key role in bowel regularity by absorbing water and adding bulk to stool, which promotes movement through the intestines. In fact, a high-fiber diet (from fruits, vegetables, whole grains, and legumes) is usually recommended for clients with constipation. Reducing fiber intake can worsen constipation and should be avoided unless otherwise directed by a healthcare provider for specific conditions (e.g., during acute exacerbations of inflammatory bowel disease).

B) Request a prescription for a mineral oil for the client:
Mineral oil is a laxative that is sometimes used to relieve constipation, but it is typically used only for short-term relief and under specific circumstances. Long-term use of mineral oil can interfere with the absorption of fat-soluble vitamins (A, D, E, and K) and can also lead to a lipid pneumonia if aspirated. It is not the first-line intervention for a patient on bed rest with constipation and should not be used indiscriminately without a provider's recommendation.

C) Encourage the client to drink cold fluids:
While fluid intake is essential for managing constipation, it is not specifically the temperature of the fluid that makes a difference. Both cold and room temperature fluids are effective, but encouraging the client to increase fluid intake overall is the most important action. Water is particularly helpful, as it helps soften stool and aids in the movement through the colon.

D) Increase the client's fluid intake:
Increasing fluid intake is the most effective intervention for constipation, especially for a client on bed rest. Adequate hydration helps to soften stool and can promote more regular bowel movements. Inactive individuals, such as those on bed rest, are more prone to constipation because of decreased physical activity and potentially insufficient fluid intake.