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 C
Explanation
A. This approach can be frustrating for the client and may undermine their confidence and autonomy. It can also prevent the client from expressing themselves fully. Therefore, this is not an appropriate action.
B. Visual aids can enhance understanding and facilitate communication, especially for clients with speech impairments. Avoiding them would limit effective communication.
C. Providing extra time allows the client to process their thoughts and express themselves at their own pace. It shows respect for their communication needs and fosters a more supportive environment.
D. While open-ended questions encourage more detailed responses, they may be challenging for someone with impaired speech. Instead, closed-ended questions or offering choices can be more effective. Open-ended questions could lead to frustration if the client struggles to articulate their responses.
Correct Answer is D
Explanation
A. In the PICOT format, "C" stands for "Comparison," which refers to the group or intervention that the primary intervention is being compared against. This could be a different treatment, a placebo, or no treatment at all, rather than focusing on the cost of research.
B. In PICOT, "P" stands for "Population" or "Patient," which refers to the specific group of individuals being studied. This could include characteristics like age, gender, or specific health conditions. It does not refer to planning steps.
C. In the PICOT format, "I" stands for "Intervention." This is the specific intervention or treatment that is being evaluated in the study. While it could relate to an issue, it specifically denotes the action or intervention being tested.
D. In PICOT, "O" stands for "Outcome," which refers to the expected results or effects of the intervention. This could include changes in health status, symptoms, or quality of life as a result of the intervention being studied.
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