A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply)

Choice A reason: Wearing heels up to 2 inches in height can contribute to lower back pain by altering posture and increasing the strain on the lower back muscles. It is generally recommended to wear low-heeled or flat shoes to reduce the risk of exacerbating back pain.

Choice B reason: Sleeping lying flat with legs extended straight is not the best position for someone with lower back pain. It is often recommended to sleep on the side with knees slightly bent or on the back with a pillow under the knees to maintain the natural curve of the spine and reduce strain.

Choice C reason: Keeping weight within 10 percent of ideal weight is important for managing lower back pain. Excess weight, especially around the abdomen, can put additional strain on the lower back muscles and spine, exacerbating pain. Maintaining a healthy weight through diet and exercise can help alleviate back pain.

Choice D reason: Increasing high potassium foods in the diet is beneficial for overall health but is not specifically related to managing lower back pain. Potassium helps with muscle function and can prevent cramps, but it does not directly address the causes of lower back pain.

Choice A reason: Adopting a neutral attitude when providing care is essential for building trust with a client who is suspicious. A neutral attitude helps the nurse remain professional and non-threatening, which can make the client feel safer and more comfortable. This approach avoids overwhelming the client with excessive friendliness or personal disclosure, which might increase their suspicion.

Choice B reason: Waiting for the client to initiate interaction is not the best approach. Clients who are suspicious may not feel comfortable initiating interactions, and this could lead to a lack of communication and trust. The nurse should take the initiative to engage with the client in a calm and respectful manner.

Choice C reason: Disclosing some personal information to the client to demonstrate approachability can be counterproductive with a suspicious client. Sharing personal information might be perceived as intrusive or manipulative, which could increase the client’s distrust. Maintaining professional boundaries is crucial.

Choice D reason: Approaching the client frequently throughout the day for brief interactions might overwhelm a suspicious client. While regular interactions are important, they should be balanced and not too frequent to avoid making the client feel pressured or monitored.