Questions: A nurse promotes the prevention of lower back pain by teaching clients at a community center. Which statement(s) would the nurse include in this education? (Select all that apply.) "Wear flat instead of high-heeled shoes to work each day." "Participate in an exercise program to strengthen back muscles." "Keep your weight within 20% of your ideal body weight." "Purchase a mattress that allows you to adjust the firmness." "Avoid prolonged standing or sitting, including driving."

The statements the nurse would include in the education to promote the prevention of lower back pain are:

1. "Wear flat instead of high-heeled shoes to work each day."
2. "Participate in an exercise program to strengthen back muscles."
3. "Avoid prolonged standing or sitting, including driving."

Explanation for each option:

1. "Wear flat instead of high-heeled shoes to work each day."

   • Correct. Wearing flat shoes helps maintain proper posture and reduces strain on the lower back.

2. "Participate in an exercise program to strengthen back muscles."

   • Correct. Strengthening the back muscles through exercise can help support the spine and prevent lower back pain.

3. "Keep your weight within 20% of your ideal body weight."

   • Incorrect. While maintaining a healthy weight is important, the specific recommendation of within 20% of ideal body weight is not a standard guideline for preventing lower back pain.

4. "Purchase a mattress that allows you to adjust the firmness."

   • Incorrect. While a supportive mattress is important, the ability to adjust firmness is not a universally recommended strategy for preventing lower back pain.

5. "Avoid prolonged standing or sitting, including driving."

   • Correct. Prolonged standing or sitting can put strain on the lower back, so it is advisable to take breaks and change positions regularly.

Summary: The nurse would include the following statements in the education to promote the prevention of lower back pain:

• "Wear flat instead of high-heeled shoes to work each day."
• "Participate in an exercise program to strengthen back muscles."
• "Avoid prolonged standing or sitting, including driving."