A nurse is talking with a client who reports acute lower back pain after moving heavy boxes. Which of the following information should the nurse reinforce? D

Turn the torso at the waist when reaching for objects.

Remain in bed except for toileting during the first 24 hr.

Use ice packs intermittently for 48 hr.

Use 10 lb arm weights to begin strengthening the back muscles.

Answer and Explanation

The Correct Answer is C

A.   The nurse should reinforce that the client should avoid twisting at the waist when lifting or reaching. Instead, they should pivot with their feet and keep their back straight to minimize strain on the lower back.
B.   Prolonged bed rest is generally not recommended for acute lower back pain. While resting is important, clients are usually encouraged to engage in light activity and movement as tolerated to prevent stiffness and promote healing. Staying in bed for extended periods can lead to more problems.
C.   Ice packs can help reduce inflammation and numb the pain in the initial stages of injury. Applying ice intermittently for 15-20 minutes at a time can be beneficial during the first 48 hours after an acute injury.
D.   This option is not advisable for a client experiencing acute lower back pain. Strengthening exercises should be introduced gradually and only after the acute pain has subsided. Initially, the focus should be on gentle stretching and movement rather than adding weights, which could exacerbate the injury.

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Correct Answer is A

Explanation

A. This is the correct way to walk with crutches. It allows for weight-bearing on the injured leg as tolerated, promoting healing and preventing muscle atrophy.
B. Hopping can put additional stress on the injured leg and other joints, increasing the risk of further injury.
C. While elevating the injured leg can help reduce swelling, it's important to engage in regular weight- bearing exercises to maintain muscle strength and prevent stiffness.
D. Leaning heavily on the crutches can put excessive pressure on the wrists and shoulders, leading to pain and discomfort.

A. Increase the client's fluid intake. B. Request a prescription for mineral oil for the client. C. Encourage the client to drink cold fluids. D. Place the client on a low-fiber diet.

Correct Answer is A

Explanation

A. Adequate fluid intake is crucial for maintaining soft, bulky stools and preventing constipation. It helps to soften the stool and promote bowel movement.
B. While mineral oil can be used to treat constipation, it's often a last resort. Increasing fluid intake and dietary fiber are generally recommended first-line interventions.
C. The temperature of fluids doesn't significantly impact bowel function. The focus should be on increasing fluid intake, regardless of temperature.
D. A low-fiber diet can actually worsen constipation. Fiber adds bulk to the stool and promotes bowel regularity. A high-fiber diet is generally recommended to prevent constipation.

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A nurse is talking with a client who reports acute lower back pain after moving heavy boxes. Which of the following information should the nurse reinforce? D

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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