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.
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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Related Questions
Correct Answer is D
Explanation
A. This method organizes information around specific patient problems. It includes a database, problem list, care plan, and progress notes.
B. This method focuses on specific patient concerns and includes data, action, and response components.
C. This method organizes documentation into subjective, objective, assessment, and plan components. It includes all relevant information, both expected and unexpected.
D. This method focuses on documenting only significant findings or deviations from the norm. By only documenting unexpected findings, it reduces the amount of time spent on charting while still ensuring that important information is captured.
Correct Answer is C
Explanation
A. While advanced technology can improve patient care, implementing it without proper training can lead to errors and increased risks. Staff must be adequately trained to use new technologies effectively to ensure safety. Therefore, this option is not an essential component of patient safety.
B. Increasing nurse-to-patient ratios can enhance patient safety by allowing nurses to provide more individualized care and attention. However, this is often dependent on organizational resources and staffing policies. While beneficial, it's not an essential component on its own; it must be coupled with other safety practices.
C. Proper adherence to infection control protocols helps prevent healthcare-associated infections, which can lead to serious complications and increased mortality. Ensuring that all staff follow these protocols consistently is essential for maintaining a safe healthcare environment.
D. While patient satisfaction is important, prioritizing it above all else can lead to compromises in safety and quality of care. Patient safety should always be the top priority, as it is fundamental to effective healthcare. Balancing patient satisfaction with safety is necessary, but it should not overshadow the imperative of safe practices.
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