A nurse is reviewing the medical history of a client who is scheduled for surgery.
Which of the following findings places the client at risk for an incisional hematoma?

Choice A rationale:

Administering IV medication via an oral route is a medication error and should be reported.

Choice B rationale:

A client vomiting their morning medications is an adverse event, but not all adverse events require an incident report. The nurse should assess the situation and report if it poses a risk to the patient's health.

Choice C rationale:

Administering a lipid-lowering medication to a client one hour after the scheduled time is a medication error, but again, the need for an incident report depends on the potential harm to the patient. In some cases, reporting this incident may be necessary.

Choice D rationale

An allergic reaction can occur in clients with no known drug allergies. Unless a drug was given in known allergies, it does not require an incident report.

Choice A rationale:

Keeping the feet together when lifting an object is not a proper body mechanics technique. It can lead to instability and an increased risk of injury because the base of support is not wide enough. Therefore, this choice does not indicate an understanding of body mechanics.

Choice B rationale:

Bending at the hip when lifting is also an incorrect body mechanics technique. Proper body mechanics involve bending at the knees and keeping the back straight to reduce the risk of back injuries. Bending at the hips can strain the lower back, making it an incorrect choice.

Choice C rationale:

Twisting the spine when lifting is a harmful practice in body mechanics. Twisting the spine can lead to spinal injuries, especially when lifting heavy objects. Proper body mechanics emphasize keeping the spine aligned and not twisting during lifting. Therefore, this choice does not indicate an understanding of body mechanics.

Choice D rationale:

Standing close to the object being moved is the correct body mechanics technique. This choice demonstrates an understanding of proper body mechanics because it reduces the strain on the back and minimizes the effort required to lift a heavy object. Keeping a wide base of support and using the leg muscles rather than the back muscles are essential principles of proper body mechanics. This is the correct choice. .