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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. While EHRs can be used for research purposes, this is not a primary benefit for individual patients. The focus of EHRs is on improving patient care, not necessarily facilitating research.
B. This is a significant benefit of EHRs, as it empowers patients to take an active role in their healthcare. They can review their medical history, medication lists, test results, and appointment schedules at their convenience. This access can also help patients to better understand their health conditions and make informed decisions about their treatment.
C. While EHRs can help to coordinate care between different providers, they may not necessarily include all healthcare received, especially if it comes from providers who do not use the same EHR system.
D. Access to patient information is typically restricted to authorized individuals, such as the patient themselves and their healthcare providers. While there may be exceptions, such as in cases of emergency or with the patient's consent, granting significant others access is not a standard feature of EHRs.

A. To avoid putting pressure on the client's stronger leg B. To ensure proper positioning of the hands on the walker C. To provide support for the client's weight while moving their weaker leg D. To maintain the client's center of gravity close to the body

Correct Answer is C

Explanation

A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.

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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

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?

Correct Answer is C

Explanation

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