A nurse is reinforcing client teaching about preventing stress injuries. Which of the following statements by the client indicates an understanding of teaching?
"I will position my arms away from my body when pushing an object."
"I will position my body to face an object, so I avoid twisting
"I will position my legs close together before lifting."
"I will position objects away from my body before lifting them."
The Correct Answer is B
Rationale:
A. "I will position my arms away from my body when pushing an object.": Keeping the arms close to the body provides better leverage and reduces strain on the muscles and joints. Extending arms away increases risk of injury.
B. "I will position my body to face an object, so I avoid twisting: Facing the object directly helps maintain proper spinal alignment and reduces the risk of back injury by minimizing twisting motions during lifting or pushing.
C. "I will position my legs close together before lifting.": Keeping legs close together decreases stability and increases risk of losing balance. A wider stance improves balance and distributes weight evenly during lifting.
D. "I will position objects away from my body before lifting them.": Objects should be held close to the body to reduce strain on the back and arms. Holding objects away increases lever arm forces and injury risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "Use a home device to monitor the newborn’s respiration.": Home apnea monitors have not been proven to reduce the risk of SUID and are not routinely recommended for healthy newborns. Reliance on these devices may provide a false sense of security.
B. "Offer the newborn a pacifier during sleep times.": Using a pacifier during sleep has been shown to reduce the risk of SUID. It may help maintain airway patency and promote lighter sleep, which decreases the risk of airway obstruction.
C. "Minimize the number of middle-of-the-night feedings.": Frequent feedings are important for newborn nutrition and do not increase the risk of SUID. Reducing feedings is neither safe nor recommended.
D. "Place the newborn on a slightly inclined sleep surface.": Infants should be placed on a firm, flat sleep surface to minimize SUID risk. Inclined surfaces increase the risk of airway obstruction and are unsafe for infant sleep.
Correct Answer is A
Explanation
Rationale:
A. Increased urinary output: Diuresis is expected within the first 12 to 24 hours postpartum as the body eliminates excess fluid retained during pregnancy. Increased urinary output helps reduce blood volume and interstitial fluid accumulated during gestation, making this a normal finding.
B. Temperature 38.2° C (100.0° F): A slight elevation in temperature can occur postpartum due to dehydration or breast engorgement, but 38.2°C is at the upper limit and may suggest infection if persistent. Therefore, it should be monitored rather than considered a typical finding.
C. Presence of lochia serosa: At 12 hours postpartum, lochia rubra, which is bright red and contains blood and tissue debris, is expected. Lochia serosa, which is pink or brown and more serous, typically appears around day 4 postpartum.
D. Deep tendon reflexes 3+: Reflexes of 3+ are slightly brisker than normal and may indicate neurological irritability or preeclampsia if seen with other symptoms. A normal postpartum reflex should be 2+, so this finding requires further evaluation.
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