A nurse in a clinic is reinforcing teaching with a group of new nurses about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that further instruction is needed?

"I'll carry objects close to my body."

“I'll do exercises that strengthen my abdominal muscles."

"When standing for a long period of time. I should keep my feet flat on the floor."

"I'll wear low-heeled shoes from now on."

Answer and Explanation

The Correct Answer is C

A. "I'll carry objects close to my body.": Carrying objects close to the center of gravity reduces strain on the back.
B. “I'll do exercises that strengthen my abdominal muscles.": Strong core muscles support the spine and prevent injury.
C. "When standing for a long period of time. I should keep my feet flat on the floor.": This statement indicates a need for further instruction. One foot should be slightly elevated on a footrest or step to reduce lumbar strain.
D. "I'll wear low-heeled shoes from now on.": Low-heeled shoes provide better spinal alignment and reduce back stress.

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Correct Answer is C

Explanation

A. Use safety pins to keep the pad in place: Safety pins can puncture the pad, leading to leaks or burns.
B. Set the pad's temperature to 42.2° C (108° F): That is too hot. Safe temperatures for heat application are usually around 40–41°C (104–105.8°F).
C. Stop the treatment if the client's skin becomes red: Redness may indicate burning or tissue damage; the application must be discontinued immediately.
D. Leave the pad in place for at least 40 min: Heat therapy is usually applied for 20–30 minutes to avoid rebound vasoconstriction and tissue injury.

A. The client's ability to communicate B. The client's activity tolerance C. The client's current weight-bearing status D. The type of equipment the staff used to transfer the client in the past

Correct Answer is C

Explanation

A. The client's ability to communicate: Communication is important, but it is not the most critical factor in determining transfer method.
B. The client's activity tolerance: Activity tolerance affects length of mobility, but not necessarily the technique used for transfer.
C. The client’s current weight-bearing status: This determines whether the client needs full assistance, partial help, or assistive devices, and directly influences the transfer method and equipment used.
D. The type of equipment the staff used to transfer the client in the past: Past equipment may not match the client’s current condition.

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A nurse in a clinic is reinforcing teaching with a group of new nurses about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that further instruction is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving heat applications using an aquathermia pad. Which of the following actions should the nurse take when applying the pad?

Correct Answer is C

Explanation

A nurse is preparing to transfer a client from lying in bed to sitting in a chair. When identifying the safest method of transfer, which of the following assessment data is most important for the nurse to determine?

Correct Answer is C

Explanation

A nurse is administering a cold application to a client. Which of the following manifestations indicates the need to discontinue the application due to a systemic response by the client?

A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to use identify the client?

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following actions should the nurse take first?

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?

A nurse is caring for a client who is recovering from a stroke. Which of the following information should the nurse include when reinforcing teaching with members of the client's family about repositioning the client? (Select All that Apply.)

A nurse is discussing restraints with a newly licensed nurse. Which of the following situations should the nurse identify as an acceptable indication for using restraints for a client?

A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?