A nurse is talking with a client who reports acute lower back pain after moving heavy boxes. Which of the following information should the nurse reinforce? D
Turn the torso at the waist when reaching for objects.
Remain in bed except for toileting during the first 24 hr.
Use ice packs intermittently for 48 hr.
Use 10 lb arm weights to begin strengthening the back muscles.
The Correct Answer is C
A. The nurse should reinforce that the client should avoid twisting at the waist when lifting or reaching. Instead, they should pivot with their feet and keep their back straight to minimize strain on the lower back.
B. Prolonged bed rest is generally not recommended for acute lower back pain. While resting is important, clients are usually encouraged to engage in light activity and movement as tolerated to prevent stiffness and promote healing. Staying in bed for extended periods can lead to more problems.
C. Ice packs can help reduce inflammation and numb the pain in the initial stages of injury. Applying ice intermittently for 15-20 minutes at a time can be beneficial during the first 48 hours after an acute injury.
D. This option is not advisable for a client experiencing acute lower back pain. Strengthening exercises should be introduced gradually and only after the acute pain has subsided. Initially, the focus should be on gentle stretching and movement rather than adding weights, which could exacerbate the injury.
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Related Questions
Correct Answer is B
Explanation
A. With aging, the tympanic membranes (eardrums) typically become thinner and less flexible, which can affect hearing. Therefore, this choice does not reflect the physiological changes that occur.
B. One of the most common changes in hearing as people age is presbycusis, which often leads to a decreased ability to hear high-frequency sounds. This loss can significantly impact communication and quality of life for older adults.
C. Tinnitus, which is the perception of ringing or buzzing in the ears, often does not decrease with age. In fact, many older adults experience increased tinnitus or persistent tinnitus due to age-related hearing loss or other factors, making this choice incorrect.
D. This is not typically accurate. Older adults often have an increased build-up of ear wax (cerumen) due to changes in ear canal structure and gland function. This can lead to blockages that affect hearing, so this choice does not represent a physiological change commonly observed in older adults.
Correct Answer is C
Explanation
A. This action is important for maintaining balance during the move, but it should be done after establishing a strong base of support.
B. Engaging core muscles can help protect the nurse's back during lifting and moving, but it's not the first step in the process.
C. This provides a strong base of support, which is crucial for safe and efficient patient repositioning.
D. While raising the bed can help reduce the nurse's bending and straining, it's not the initial step. Proper body mechanics should be prioritized first.
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