The nurse is providing discharge instructions for a client who has experienced pulled muscles in the back after lifting a heavy item at work. Which statement by the client indicates the need for further instruction?

Question

1. "I should apply heat for 10 minutes, followed by cold for 10 minutes."
2. "I may sit in a warm whirlpool tub to help relax the back muscles."
3. "I may take 2 to 3 ibuprofen 200 mg each every 6 hours by mouth."
4. "I am to go home and stay on bed rest for the next 2 to 3 days."

Answer 1

Correct Answer: 4
Rationale 1: The application of heat or cold will reduce or relieve muscle spasm and pain.
Rationale 2: Hydrotherapy increases blood circulation to the site of the muscle spasm to help relieve pain.
Rationale 3: Nonsteroidal anti-inflammatory drugs relieve muscle pain and reduce inflammation.
Rationale 4: The client should perform gentle range of motion exercises to the point of physical discomfort, but not pain, several times each day.
Global Rationale: The client should perform gentle range of motion exercises to the point of physical discomfort, but not pain, several times each day. The application of heat or cold will reduce or relieve muscle spasm and pain. Hydrotherapy increases blood circulation to the site of the muscle spasm to help relieve pain. Nonsteroidal anti-inflammatory drugs relieve muscle pain and reduce inflammation.