The nurse is planning care for a client with acute back pain who is a single mother of two small children and works part-time as a receptionist. Based on the data, which intervention is the priority?
A) Instruct in appropriate body mechanics for lifting and ways to modify the work environment.
B) Suggest that the client take time off from work until the back is healed.
C) Obtain an order for non-steroidal anti-inflammatory drugs (NSAIDs) from the client's healthcare provider.
D) Suggest that the children be taken care of by an extended family member until the back is healed.
Answer: A
The client is at risk for Ineffective Self Health Management, as she has two small children that need care and a part-time job that is sedentary. The nurse should include instructions in appropriate body mechanics for lifting and ways to modify the work environment. The client may or may not be prescribed NSAIDs. Suggesting that the client take time off from work or have extended family members care for the children may or may not be appropriate and should not be included in this client's plan of care.
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