A client with subacute back pain asks the nurse about strategies to help keep the low back pain from becoming chronic.
Which of the following responses is appropriate for the nurse to make at this time?
Try to get plenty of rest every night.
There is nothing that you can do.
It is okay if you take your medication a few hours early if you need to.
Try to maintain good posture and strengthen your core.
The Correct Answer is D
Choice A rationale
While adequate rest is generally beneficial for overall health, excessive or prolonged rest for subacute back pain can actually be detrimental. Prolonged inactivity can lead to deconditioning of core muscles, joint stiffness, and a decrease in spinal mobility, which can contribute to the transition of subacute pain to chronic pain. Moderate activity and movement are generally encouraged.
Choice B rationale
Stating there is nothing a patient can do is inaccurate and unhelpful. There are numerous evidence-based strategies, including exercise, physical therapy, ergonomic adjustments, and lifestyle modifications, that can significantly impact the progression and chronicity of back pain. This response does not empower the patient with self-management techniques or provide accurate information.
Choice C rationale
Adjusting medication schedules without professional guidance can be dangerous and lead to adverse effects, inadequate pain control, or drug dependency. Medications for pain, especially analgesics, have specific dosing intervals based on pharmacokinetics and pharmacodynamics to maintain therapeutic levels and minimize side effects. Self-adjusting doses can lead to toxicity or insufficient pain relief.
Choice D rationale
Maintaining good posture and strengthening core muscles (abdominal and back muscles) are fundamental strategies for preventing chronic low back pain. A strong core provides essential support for the spine, improves spinal alignment, reduces mechanical stress on spinal structures, and enhances overall biomechanics during daily activities, thereby mitigating factors contributing to chronicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A stress fracture is a tiny crack in a bone caused by repetitive stress or force, often from overuse, rather than a single traumatic event. The image depicts a fracture pattern that is not consistent with the subtle, often hairline nature of a typical stress fracture.
Choice B rationale
A comminuted fracture involves the bone breaking into three or more fragments. While the image shows significant bone damage, it does not clearly depict multiple distinct fragments as seen in a comminuted fracture, which would be shattered into many pieces.
Choice C rationale
An oblique fracture occurs at an angle to the bone's long axis, typically resulting from a twisting force. The image shows a fracture that extends through the bone due to underlying disease, not a simple angular break characteristic of an oblique fracture.
Choice D rationale
A pathologic fracture occurs when a bone breaks due to an underlying disease or condition that weakens the bone, such as osteoporosis, cancer, or infection, rather than from significant trauma. The image illustrates a bone weakened by disease, leading to a fracture.
Correct Answer is ["100"]
Explanation
Step 1: Calculate mL per minute. 100 mL ÷ 60 min = 1.666. mL/min.
Step 2: Multiply mL per minute by the drop factor. 1.666. mL/min × 60 gtt/mL = 100 gtt/min. The nurse should set the IV flow rate to deliver 100 gtt/min.
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