A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?

I can wear heels up to 2 inches in height.

I should sleep lying flat with my legs extended straight.

I should keep my weight within 10 percent of my ideal weight.

I should increase high potassium foods in my diet.

Answer and Explanation

The Correct Answer is C

Choice A reason: Wearing heels up to 2 inches in height can contribute to lower back pain by altering posture and increasing the strain on the lower back muscles. It is generally recommended to wear low-heeled or flat shoes to reduce the risk of exacerbating back pain.

Choice B reason: Sleeping lying flat with legs extended straight is not the best position for someone with lower back pain. It is often recommended to sleep on the side with knees slightly bent or on the back with a pillow under the knees to maintain the natural curve of the spine and reduce strain.

Choice C reason: Keeping weight within 10 percent of ideal weight is important for managing lower back pain. Excess weight, especially around the abdomen, can put additional strain on the lower back muscles and spine, exacerbating pain. Maintaining a healthy weight through diet and exercise can help alleviate back pain.

Choice D reason: Increasing high potassium foods in the diet is beneficial for overall health but is not specifically related to managing lower back pain. Potassium helps with muscle function and can prevent cramps, but it does not directly address the causes of lower back pain.

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Correct Answer is D

Explanation

Choice A reason: Implement a resolution

Implementing a resolution without first understanding the root cause of the conflict can lead to ineffective solutions and may not address the underlying issues. It is essential to identify the problem first to ensure that any resolution is appropriate and effective.

Choice B reason: Evaluate the results

Evaluating the results is an important step in the conflict resolution process, but it comes after implementing a solution. Before any evaluation can take place, the problem must be identified, and a resolution must be implemented. Therefore, this step is not the first action to take.

Choice C reason: Brainstorm solutions

Brainstorming solutions is a critical part of resolving conflicts, but it should occur after the problem has been clearly identified. Without a clear understanding of the problem, brainstorming may not yield effective solutions. Identifying the problem ensures that the brainstorming session is focused and productive.

Choice D reason: Identify the problem

Identifying the problem is the first and most crucial step in resolving any conflict. Understanding the root cause of the conflict between the pharmacy and the staff nurses will provide a clear direction for developing effective solutions. This step involves gathering information, listening to all parties involved, and pinpointing the specific issues that need to be addressed.

A. Administer the medication over 1 minute. B. Dilute the medication with sterile water before injecting. C. Slow the injection if the medication crystallizes. D. Follow the injection with sterile water.

Correct Answer is A

Explanation

Choice A reason: Administering the medication over 1 minute is crucial for phenytoin IV administration. Phenytoin should be administered slowly to prevent severe cardiovascular reactions, including hypotension and arrhythmias. The recommended rate is not to exceed 50 mg per minute.

Choice B reason: Diluting the medication with sterile water before injecting is not recommended for phenytoin. Phenytoin should be administered undiluted or diluted with normal saline if necessary. Using sterile water can cause the medication to precipitate.

Choice C reason: Slowing the injection if the medication crystallizes is not an appropriate action. If phenytoin crystallizes, it should not be administered. The nurse should ensure the solution is clear before administration and discard any crystallized medication.

Choice D reason: Following the injection with sterile water is not necessary. Phenytoin does not require a flush with sterile water after administration. Instead, normal saline can be used to flush the IV line before and after administration to ensure the line is clear.

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A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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