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Chapter 23: Problem 131

A client is admitted with low back pain. Which position would the nurse place the client in to provide the most comfort? A. Flat with the head of the bed elevated on 6" blocks B. Semi-Fowler's with the foot of the bed elevated C. Prone with a pillow under the knee D. Semi-Fowler's with the knee gatch raised slightly

Short Answer

Expert verified
Answer: Option C, Prone with a pillow under the knee.

Step by step solution

01

Option A: Flat with the head of the bed elevated on 6" blocks

Elevating the head of the bed with 6" blocks can provide some comfort for clients with respiratory issues, but it may not provide adequate support or alignment for the spine to relieve low back pain. This option is not most suitable for clients with low back pain.
02

Option B: Semi-Fowler's with the foot of the bed elevated

In the Semi-Fowler's position, the client is lying on their back and their upper body is elevated at a 30 to 45-degree angle. Elevating the foot of the bed might help clients with lower limb edema, but it doesn't provide the necessary support and alignment for the spine to relieve low back pain. This option is not the most effective for clients with low back pain.
03

Option C: Prone with a pillow under the knee

In the prone position, the client lies on their stomach. Placing a pillow under the knee can help maintain the natural curvature of the spine, providing support and proper alignment. This position can reduce tension and strain on the lower back muscles, helping to alleviate low back pain. Option C is suitable for clients with low back pain.
04

Option D: Semi-Fowler's with the knee gatch raised slightly

In this position, the client lies on their back with the head of the bed elevated at a 30 to 45-degree angle, and the knees are slightly raised. While this position can provide some comfort to clients, it can also cause some strain on the lower back as the legs are elevated, and it may not relieve low back pain effectively in comparison to Option C.
05

Conclusion

Among the given options, Option C (prone with a pillow under the knee) is the most appropriate position for providing comfort to a client admitted with low back pain, as it offers support and proper alignment for the spine, reducing tension and strain on the lower back muscles.

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Most popular questions from this chapter

A client has been scheduled for a lumbar puncture. Which would the nurse include in the implementation plans? A. Get the consent form signed for the lumbar puncture procedure B. Place the client in the prone position during the procedure C. Instruct the client that there will be no pain or discomfort D. Encourage fluid intake to assure a full bladder

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