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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dismissing the client's concerns by stating everything will be fine doesn’t acknowledge their anxiety or offer reassurance.
B. While validating common feelings of fear might be helpful, it doesn't directly address the client's concerns or provide coping strategies.
C. Asking why the client feels scared might come across as confrontational or probing, possibly escalating their anxiety.
D. Offering to discuss what the client can expect during their stay provides reassurance, helps manage expectations, and gives the client a sense of control and understanding about their situation.
Correct Answer is C
Explanation
A. Client educator: Involves imparting knowledge or information to the client or others, which isn't the primary role of the nurse manager in this scenario.
B. Client advocate: Represents and supports the client's rights and needs.
C. Client care provider: The nurse manager is ensuring proper care provision by overseeing the procedure directly.
D. Case manager: Coordinates care and resources for the client's overall plan but isn't directly involved in overseeing a specific procedure.
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