A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective?
"I will tell my boss that I need a job where I can sit at my desk all day."
"I will begin doing exercises that will strengthen my lower back."
"I will keep my back straight when I am lifting heavy objects above my waist."
"I can sleep with my knees and back extended to prevent back pain."
The Correct Answer is B
Choice A reason: Requesting a job that requires sitting all day does not reflect an understanding of correct body mechanics or how to manage chronic back pain through activity.
Choice B reason: Beginning exercises to strengthen the lower back indicates that the patient understands the importance of muscle strength in supporting the spine and preventing back pain.
Choice C reason: Keeping the back straight while lifting is important, but the statement about lifting "heavy objects above my waist" suggests a misunderstanding, as lifting objects above the waist increases the risk of back injury.
Choice D reason: Sleeping with knees and back extended is not recommended for preventing back pain. It is better to sleep with knees slightly bent to maintain the natural curve of the spine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Taking several deep breaths is not specifically related to the preparation for a renal system physical assessment. Deep breaths are more commonly associated with lung examination or to help the patient relax.
Choice B reason: Drinking several glasses of water before a renal assessment could potentially fill the bladder, which might interfere with palpation of the kidneys and make it uncomfortable for the patient.
Choice C reason: Emptying the bladder is the correct action before a renal system physical assessment. It allows for better palpation of the kidneys and other structures without the discomfort of a full bladder. It also prevents the possibility of the patient urinating involuntarily during the examination due to a full bladder.
Choice D reason: Providing a urine sample might be part of the overall renal assessment, but it is not necessary to do so immediately before the physical examination of the renal system. The sample can be collected at any time before or after the physical examination.
Correct Answer is D
Explanation
Choice A reason: Avoiding tanning booths is correct and does not indicate a need for further teaching.
Choice B reason: Using sunscreen even on cloudy days is correct and does not indicate a need for further teaching.
Choice C reason: Checking the skin monthly for any changes is correct and does not indicate a need for further teaching.
Choice D reason: The statement about eating a high-fiber diet reducing the risk for developing skin cancer indicates a misunderstanding, as there is no direct correlation between a high-fiber diet and the prevention of skin cancer. This indicates a need for further teaching.
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