68. A nurse has educated the client with a herniated lumbar disk about proper body mechanics and other information about low back care. The nurse determines that the client needs further instruction if the client makes which statement? A. "I need to bend at the knees to pick things up." B. "I need to increase the fiber and fluids in my diet." C. "I can strengthen my back muscles by swimming or walking." D. "I need to get out of bed by sitting up straight and swinging my legs over the side of the bed." 69. A client has been placed in Buck's extension traction. The nurse can provide countertraction to reduce shear and friction by implementing which measure? A. Flexing the feet against a footboard B. Slightly elevating the foot of the bed C. Keeping the head of the bed elevated 45 degrees D. Placing the bed in reverse Trendelenburg position 70. A nurse is inserting an indwelling urinary catheter into the urethra of a client. As the nurse inflates the balloon, the client complains of discomfort. The nurse would take which action?
Answer (1)
For someone with a herniated lumbar disk, getting out of bed by sitting up straight and swinging the legs over the side increases strain on the lower back. Instead, they should log roll onto their side and then push themselves to a sitting position, keeping their back straight and aligned to avoid unnecessary pressure on the injured area.
A client has been placed in Buck's extension traction. The nurse can provide countertraction to reduce shear and friction by implementing measure B : "Slightly elevating the foot of the bed."
