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 D

Explanation

A. While it's important to be flexible and anticipate interruptions, planning for them can lead to inefficient time management. It's better to focus on completing tasks and addressing disruptions as they arise.
B. While helping colleagues is important, taking on additional tasks can overload your workload and hinder your own time management.
C. Skipping meals is not a sustainable solution for time management. It can lead to fatigue, decreased productivity, and potential health problems.
D. This strategy helps to build momentum and a sense of accomplishment, making it easier to tackle more challenging tasks later. It also helps to reduce stress and procrastination.

A. Use hot water to clean the client's skin. B. Apply cornstarch to the client's skin. C. Clean the client's skin with a pH-balanced cleanser. D. Allow the client's skin to air-dry after cleaning.

Correct Answer is C

Explanation

A. Using hot water is not recommended as it can cause skin irritation or burns, especially in vulnerable populations such as those with urinary incontinence. Warm or lukewarm water is more appropriate for cleaning sensitive skin.
B. Applying cornstarch can sometimes be used to absorb moisture and reduce friction; however, it is not the first-line recommendation. It may also promote yeast growth in the presence of moisture, so it should be used with caution.
C. Using a pH-balanced cleanser helps maintain the natural acidity of the skin, which is important for skin integrity and preventing irritation. This type of cleanser is less likely to disrupt the skin's barrier, reducing the risk of skin breakdown and infection.
D. While air-drying can be beneficial in some cases, it is generally not the best practice after cleaning. Gently patting the skin dry with a soft towel is usually recommended to avoid irritation. Allowing skin to remain damp can increase the risk of skin breakdown.

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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

A nurse is discussing time management strategies with another nurse. The nurse should include which of the following as an example of a time management strategy?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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