A nurse is caring for a client in the outpatient clinic

A nurse is caring for a client in the outpatient clinic. Exhibit 1 Nurses’ Notes 0800; Client presents to outpatient clinic for evaluation of acute lower back pain. Client reports onset of pain yesterday after helping move several heavy boxes at work. Describes moving as close to the box as possible and lifted the box from the ground up while bending at the back. Client appears mildly uncomfortable when walking and is observed rubbing the lower back. 0850: Client admits to frequently lifting objects at work without assistance, although they do lift with a partner if someone is “close by.” Has a back brace available to use, but rarely uses it. Reports taking over the counter pain medication at home with limited relief.