A nurse is reinforcing teaching with a newly licensed nurse about isolation precautions when caring for a client who has a Clostridioides difficile infection. Which of the following information should the nurse include in the teaching?

A. "I will position my body to face an object, so I avoid twisting.": Facing the object directly keeps the spine aligned and reduces rotational stress on the back and musculoskeletal system. Avoiding twisting during lifting or reaching prevents strain injuries and supports proper body mechanics.

B. "I will position my arms away from my body when pushing an object.": Keeping the arms close to the body during pushing or lifting provides better leverage and reduces musculoskeletal strain. Extending the arms away increases the risk of shoulder and back injury.

C. "I will position my legs close together before lifting.": Maintaining a wide base of support with feet shoulder-width apart enhances stability and balance during lifting. Legs close together decrease stability and increase risk of falls or back injury.

D. "I will position objects away from my body before lifting them.": Objects should be kept close to the body during lifting to reduce leverage forces on the spine. Holding objects away increases torque on the back and risk of musculoskeletal injury.

A. Removing packed gauze from a client's surgical dressing: This is a sterile procedure that requires assessment of the wound, monitoring for infection, and clinical judgment. Only licensed nurses should perform this task to ensure safety and proper wound management.

B. Reinforcing the use of an incentive spirometer to a client: Teaching or reinforcing the use of medical devices requires understanding of technique, respiratory assessment, and the ability to correct improper use. This responsibility is within the licensed nurse’s scope of practice.

C. Determining the need for thickening agents while feeding a client: Assessing swallowing ability and determining the need for dietary modifications involves clinical judgment and knowledge of dysphagia management. Only a nurse or speech-language pathologist should perform this assessment.

D. Repositioning a client who has a pressure injury: Repositioning to prevent further pressure injury is within the scope of an assistive personnel. It involves following the nurse’s plan of care, using proper body mechanics, and implementing delegated interventions without requiring independent clinical judgment.