The nurse is teaching a client with low back pain. Which of the following statements, if made by the client, would require follow-up?
The nurse is teaching a client with low back pain. Which of the following statements, if made by the client, would require follow-up?
A. "I am planning to stop smoking cigarettes."
[16%]
B. "I should sleep on my stomach."
[61%]
C. "I have decided to purchase a firm mattress."
[12%]
D. "I will bend my knees when lifting objects."
[11%]
Statistics
Subject/Lesson
Subject
Adult Health
Lesson
Musculoskeletal
Client Need
Test Plan
Physiological Adaptation
Related Topic
Illness Management
Item Type
Item Type
Application
Explanation
Choice B is correct. This statement requires follow-up because if a client sleeps on their stomach (prone positioning) results in excessive lumbar lordosis, which would increase the stress on the client's lower back. This client would benefit from sleeping in either a supine or side-lying position with a pillow between the knees and hips flexed.
Choice A is incorrect. Nicotine has been shown to decrease circulation to vertebral disks. Smoking avoidance/cessation should be included in teaching for clients with low back pain.
Choice C is incorrect. This client would benefit from the use of a firm mattress to provide adequate support to muscles, ligaments, and joints.
Choice D is incorrect. The nurse should include information regarding proper body mechanics to limit stress on this client's lower back. The client should be instructed to avoid low back strain by bending at the knees (not the waist) when lifting objects and to stand up slowly with the item held close to the body.
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