A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Roll the client as one unit in a smooth, continuous motion.
Flex the client's knees.
Place the client's arms at their sides.
Place the client on the side of the bed nearest the direction they will be turned.
The Correct Answer is A
- Rationale for A: Rolling the client as one unit helps maintain spinal alignment and prevents further injury. It ensures that no additional strain is placed on the injured area, which could exacerbate pain or cause further damage. This method distributes the client's weight evenly and avoids twisting movements that could be harmful.
- Rationale for B: While flexing the client's knees may be part of the process to prepare for repositioning, it is not the most critical action to take. Flexing the knees alone does not ensure the safety of the client's lower back and could potentially lead to discomfort or injury if not done in conjunction with other measures.
- Rationale for C: Placing the client's arms at their sides is not advisable as it does not provide any support or stability during the repositioning process. Arms should be positioned in a way that they do not bear weight or interfere with the movement, ensuring the client's comfort and safety.
- Rationale for D: While placing the client on the side of the bed nearest the direction they will be turned may seem practical, it is not the primary action to ensure the client's safety. This position does not address the need for maintaining proper spinal alignment or the smooth, controlled movement required to protect the lower back injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","F"]
Explanation
A. Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B. No history of smoking was reported by the client.
C. The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D. Normal phosphorus levels are found in the client's diagnostic results.
E. The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F. The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.
Correct Answer is C
Explanation
A. Expressing a desire for independence indicates the client may not have fully adapted to relying on others yet.
B. Reluctance to ask for help suggests the client is still adjusting and may not have fully embraced the new living arrangement.
C. Expressing enjoyment or appreciation for others cooking for them indicates acceptance of assistance and adaptation to the new living situation.
D. Expressing uncertainty about daily activities suggests a lack of adjustment to the new environment and situation.
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