A nurse is reinforcing teaching with a client who has recurrent back injuries related to lifting. Which of the following lifting instructions should the nurse include?

Choice A Reason:
Keeping the knees straight is not appropriate. It's advisable to bend the knees while lifting to engage the leg muscles and reduce strain on the back.

Choice B Reason:
Standing with the feet close together is not appropriate. Having a wider stance provides better stability and balance while lifting heavy objects, which is preferable to standing with the feet close together.

Choice C Reason:
Holding objects away from the torso is not appropriate. Keeping objects close to the body while lifting helps maintain control and reduces strain on the back. Holding objects away from the torso can increase the load on the back muscles and lead to injury.

Choice D Reason:
Aligning the back with the neck and feet is appropriate. This instruction emphasizes maintaining proper alignment of the body during lifting to reduce strain on the back muscles and minimize the risk of injury.

Choice A Reason:

“I understand that you decided not to receive blood products.” This response shows empathy and acknowledges the client's decision without judgment. It respects the client's autonomy and decision-making capacity.

Choice B Reason:

“Not receiving blood will slow down your memory.” This statement introduces a potential consequence that may not be accurate or relevant to the client's decision. It is important to provide information, but scare tactics or inaccurate statements may not be helpful.

Choice C Reason:

“Why are you refusing to receive blood products?” While understanding the client's rationale is essential, the initial response should convey empathy and acceptance. Asking why may be appropriate later in the conversation, but starting with understanding is crucial.

Choice D Reason:

“You need to talk with your doctor about this.” While involving the doctor is important, it's essential to address the client's feelings and decisions directly. The nurse can play a supportive role in facilitating communication between the client and the healthcare team.