A nurse is providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed. Which of the following statements by the caregiver indicates an understanding of the teaching?

"I will twist at the waist while pulling the draw sheet."

"I will keep my legs straight to provide more power in the lift."

"I will tighten my abdominal muscles prior to moving."

"I will place the bed in the lowest position."

Answer and Explanation

The Correct Answer is C

Tightening the abdominal muscles prior to moving helps to stabilize the spine and prevent back strain. This is an important technique for caregivers to use when assisting a client who is immobile and requires repositioning in bed.

a. Twisting at the waist while pulling the draw sheet can cause strain on the back muscles and should be avoided.

b. Keeping the legs straight does not provide more power in the lift and can also cause strain on the back muscles.

d. Placing the bed in the lowest position does not necessarily prevent back strain and is not related to the proper technique for repositioning a client in bed.

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Correct Answer is B

Explanation

When providing preoperative teaching to a client over the phone in preparation for outpatient surgery, the nurse should explain the need for the client to have another adult drive them home following surgery. This is because the client may still be aﬀected by anesthesia and may not be able to safely operate a vehicle.

a. Asking the client to shower 3 times the day before surgery is not necessary and may dry out the skin.

c. The client should typically stop drinking clear liquids 2 hours before surgery, not 1 hour.

d. The client should not wear makeup during surgery as it can interfere with the monitoring of their skin color and oxygen saturation.

A. Find an assistive personnel who speaks the client's language. B. Ask a family member of the client to translate for the nurse. C. Arrange for a video conference with an interpreter who speaks the client's language. D. Speak to the client while indicating printed instructions in the client's language.

Correct Answer is C

Explanation

The nurse should arrange for a video conference with an interpreter who speaks the client's language to provide discharge instructions. This ensures that the client receives accurate and complete information in a language they understand. The other

a. Assistive personnel may not be trained or qualified to provide medical interpretation.

b. Family members may not have the necessary medical knowledge to accurately translate medical information.

d. Simply indicating printed instructions in the client's language may not be sufficient to ensure the client understands the information.

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A nurse is providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed. Which of the following statements by the caregiver indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has a chest tube following thoracic surgery. Which of the following tasks should the nurse delegate to an assistive personnel?

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