A nurse is preparing to lift a box of supplies in the supply room. Which of the following body mechanics should the nurse plan to use?

Standing with his feet close together when lifting

Keeping the box close to his body as he lifts it

Bending at the waist to pick up the box

Twisting to place the box to his side

Answer and Explanation

The Correct Answer is B

A.   Standing with feet close together reduces the base of support, making the nurse less stable and increasing the risk of losing balance or straining muscles. It is not recommended for lifting because it compromises stability and balance.
B.   Keeping the box close to the body reduces the leverage and strain on the back muscles. This technique utilizes the strength of the legs and core muscles more effectively and helps to maintain balance and stability while lifting.
C.   Bending at the waist puts excessive strain on the lower back muscles and can lead to back injury, especially when lifting heavy objects. The correct technique is to bend at the knees and hips while keeping the back straight to maintain proper alignment and reduce strain on the spine.
D.   Twisting while lifting or carrying heavy objects can strain the muscles and ligaments of the spine, leading to injury, particularly to the intervertebral discs. The nurse should avoid twisting and instead pivot the entire body with the feet to change direction.

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Correct Answer is C

Explanation

A. Place the client in a high Fowler's position:High Fowler’s would increase intra-abdominal pressure and strain sutures. For peritonitis recovery, semi-Fowler’s is preferred-promotes drainage of peritoneal fluid into the pelvis, preventing spread to diaphragm and lungs.

B. Ambulate the client twice daily:Too early after peritonitis lavage. Initially, the client is very weak, at risk for sepsis/shock. Early ambulation is not a priority here.

C. Mark abdominal girth once daily:Abdominal girth measurement is important to monitor for distention, fluid accumulation, or bleeding. Marking ensures accuracy in repeated measurements. This is a key intervention in monitoring postop peritonitis.

D. Irrigate the nasogastric tube with tap water:Never irrigate with tap water (risk of electrolyte imbalance, infection). Only sterile normal saline or as prescribed is used.

A. "Wear a mask when entering the client's room." B. "Gloves are not necessary if you wash your hands well." C. "Place a mask on the client when you check her vital signs." D. "Wear a gown whenever you come in close contact with the client."

Correct Answer is A

Explanation

A. Wearing a mask helps prevent the spread of respiratory droplets that may contain infectious pathogens, such as those causing pneumonia. It protects both the client from potential pathogens carried by the AP and the AP from potential exposure to the client's respiratory secretions.

B. Gloves should be worn when there is a risk of contact with the client's body fluids, including respiratory secretions, to prevent transmission of infectious agents. Hand hygiene (washing hands well) is important but does not replace the need for gloves in situations where there is a risk of exposure to bodily fluids.
C. Placing a mask on the client would not typically be required unless the client is coughing excessively and the mask is intended to contain respiratory droplets. However, the focus of precautions should primarily be on protecting the AP.
D. Wearing a gown may be necessary if there is a risk of contamination with respiratory secretions or if the AP anticipates contact with the client's body fluids. However, it is not specifically required for routine vital sign measurement unless there is visible contamination or extensive contact with the client's secretions.

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A nurse is preparing to lift a box of supplies in the supply room. Which of the following body mechanics should the nurse plan to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed- suction drains in place. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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