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?
Keep the knees straight.
Stand with the feet close together.
Hold objects away from the torso.
Align the back with the neck and feet.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Inflating the catheter's balloon is done after proper placement to secure the catheter in the bladder. It should not be done when there is resistance and no urine flow.
Choice B Reason:
Twisting the catheter gently is correct. Resistance during catheter insertion may indicate the catheter is encountering an obstruction or is misaligned. Gently twisting the catheter can help navigate around obstructions or correct misalignment without causing trauma to the urethra.
Choice C Reason:
Applying lidocaine gel to the urethra is typically used for lubrication and to numb the urethra during catheter insertion, but it may not address the issue of resistance or lack of urine flow.
Choice D Reason:
Lowering the penis to a 45° angle is not a standard action in response to resistance during catheter insertion. Twisting the catheter gently is a more appropriate initial step.
Correct Answer is C
Explanation
A. A family member is napping in the client's room.
This situation, while not ideal, doesn't involve harm or potential harm to a client, staff, or visitor. It may be addressed through communication and policy reminders but may not require an incident report.
B. A client refuses to eat at mealtime.
Client refusal to eat, while concerning, is not an unexpected or unusual event. It is a common aspect of care, and incident reports are not typically used for such situations.
C. A client's bed alarm is malfunctioning.
This situation involves a malfunction in equipment designed to ensure client safety. It has the potential to compromise the safety of the client and may require an incident report to document the issue and address it appropriately.
D. An assistive personnel is late for the upcoming shift.
Lateness may be an issue that needs addressing, but it's not typically considered an incident requiring a formal incident report. This situation may be addressed through workplace policies and communication.
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