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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Using handrails in the bathroom is an effective fall prevention strategy. Handrails provide support and stability, especially in wet and slippery conditions, reducing the risk of falls. Bathrooms are common places for falls due to the presence of water and slippery surfaces. Installing handrails can significantly enhance safety for elderly residents.
Choice B reason: Getting a longer cord for the telephone is not a recommended fall prevention strategy. Long cords can create tripping hazards, especially if they are not properly managed. It is better to use cordless phones or ensure that cords are kept short and out of walkways to prevent falls.
Choice C reason: Placing a throw rug over electrical cords is not advisable. Throw rugs can slip and slide, creating a significant tripping hazard. Additionally, covering electrical cords with rugs can cause overheating and pose a fire risk. It is safer to secure cords along walls and use non-slip mats if necessary.
Choice D reason: Using chairs without armrests is not recommended for fall prevention. Armrests provide support when sitting down and standing up, helping to maintain balance and stability. Chairs with armrests can reduce the risk of falls by providing additional support for elderly residents.
Correct Answer is D
Explanation
Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells
This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.
Choice B reason: You will be able to resume your regular diet as soon as the test is complete
This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.
Choice C reason: High-frequency sound waves will be used to identify renal system structures
This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.
Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids
This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.
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