PN Adult Medical Surgical Practice Exam

What position should a nurse place a client with low back pain while repositioning?

1. Semi-Fowler's with knees flexed

2. Dorsal recumbent

3. Orthopneic

4. Prone with legs straight

The correct answer is: Semi-Fowler's with knees flexed

The choice of placing a client with low back pain in a semi-Fowler's position with knees flexed is significant as it helps to alleviate discomfort and provide support to the lumbar spine. When the knees are flexed, it reduces the strain on the back by flattening the lumbar curve and promoting a more relaxed posture, thereby leading to a decrease in pain. This position also allows for better breathing mechanics and improves circulation, making it a comfortable and beneficial choice for clients experiencing low back pain. In contrast, other positions may not provide the same degree of comfort or support. The dorsal recumbent position can place additional pressure on the lower back, which may exacerbate pain. The orthopneic position, although helpful for clients experiencing respiratory distress, may not offer the needed lumbar support for someone with low back pain. Lastly, the prone position with legs straight generally increases tension in the lumbar region, likely worsening discomfort. Therefore, the semi-Fowler's position with knees flexed is optimal for managing low back pain effectively.