mobility

An older adult male client asks about the risks of having osteoporosis. Which response would the nurse make?

"You might consider having a bone density test."

Which foods would the nurse recommend for a client who is at risk for developing osteoporosis? Select all that apply. One, some, or all responses may be correct.

Chicken breast, Broiled beef steak

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences?

Chinese Americans

Which factor that contributes to the incidence of hip fractures is a higher risk for older adults?

Fragility of bone

Which medication to treat osteoporosis would be contraindicated for a client who has a history of renal calculi?

Os-cal

Which food selection by the client with osteoporosis indicates that the nurse's dietary instruction was effective?

Turnip greens

A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin would the nurse recommend?

Vitamin D

The nurse is educating a client on the use of heat and cold for osteoarthritis (OA) pain. Which action by the client indicates the need for additional teaching?

Places ice pack on skin

Which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery?

Prevent clot formation

Which factor in the client's history increases the risk for osteoporosis?

Prolonged immobility

Which information from the client's history would the nurse identify as a risk factor for developing osteoporosis?

Receives long-term steroid therapy

Which factors contribute to development of osteoporosis in female clients? Select all that apply. One, some, or all responses may be correct.

Cigarette smoking, Familial predisposition, Inadequate intake of dietary calcium

Which finding would the nurse expect to identify in a client who has osteoarthritis that would not be present in clients with rheumatoid arthritis?

Heberden nodes

The primary health care provider prescribed medications to four clients with osteoporosis. Which medicine would the nurse instruct to remain upright for 30 minutes after receiving the medication?

alendronate

A female client asks the nurse whether she should be tested for osteoporosis. Which statements reflect current advice regarding the prevention of osteoporosis? Select all that apply. One, some, or all responses may be correct.

A bone mineral density test is the only way to diagnose osteoporosis, Postmenopausal women and all adults over the age of 65 should be tested for osteoporosis.

The nurse is teaching positioning techniques to a client who developed degenerative joint disease of the vertebral column. In addition to suggesting that the client keep the spine straight and cross the arm over the chest, which instruction would the nurse provide?

Bend the top knee to the side to which the client is turning.

A client with osteoarthritis (OA) reports experiencing painful back muscle spasms. Which medication would the nurse administer?

Cyclobenzaprine hydrochloride

On the first postoperative day after a total hip replacement a client asks for assistance onto the bedpan. Which instruct would the nurse give to the client?

Flex the knee on the unoperated leg and pull on the trapeze to lift your pelvis."

The nurse finds the client on the floor, crying for help, with signs of a hip fracture. Which action would the nurse take first?

Immobilize the affected extremity.

Which change in the joint may result in joint pain for older adults?

Increased cartilage erosion

The nurse teaches a client who is premenopausal and obese about strategies to prevent osteoporosis. Which strategy identified by the client indicates that the teaching is effective?

Joins a tennis league and practices every day

An older adult fell at home and fractured the left hip. Which clinical indicator would the emergency department nurse identify as typical with a fractured left hip?

Left leg is noticeably shorter than the right

After surgery for a fractured hip, a client states, "I don't remember when I have ever been so uncomfortable." Which initial action would the nurse take?

Perform a complete pain assessment.

A primary health care provider schedules a bone scan for a client with osteoporosis. Which nursing actions are beneficial for the client? Select all that apply. One, some, or all responses may be correct.

Placing the client in the supine position, Instructing the client to empty their bladder before the scan

Which clinical finding would the nurse expect to identify when assessing the client who has a fractured hip?

Shortening of the affected extremity

Which action would the nurse teach a client to avoid after a total hip replacement?

Sitting in a low chair

Which action by a 70-year-old female client would best limit further progression of osteoporosis?

Taking supplemental calcium and vitamin D

The nurse is completing the health history of a client admitted to the hospital with osteoarthritis. Which joints would the nurse expect the client will report as having been involved first? Select all that apply. One, some, or all responses may be correct.

Hips, Knees

Which client statement supports the nurse's conclusion that teaching about osteoporosis was effective?

I know that certain illnesses can affect my body's calcium level.

After teaching a client about the use of calcitonin (nasal route) as treatment for osteoporosis, which client statement indicates effective learning?

I should not spray the medication into the same nostril on 2 consecutive days

When reinforcing preoperative instructions for a client who experienced a recent hip replacement surgery, which statements indicate client understanding of instructions? Select all that apply. One, some, or all responses may be correct.

I will use an elevated toilet seat, I will use a firm pillow between my legs for the first 6 weeks.", I will keep my hips in a neutral, straight position when sitting.

Which nurse would be most qualified to create clinical pathways for joint replacement surgeries in an environment that supports differentiated nursing practice?

Nurse with a master's degree who case-managed clients in an orthopedic care center

When teaching a client about their disease process, which term would the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis?

Osteopenia

The nurse is caring for a client who had a hip replacement 2 days prior. Which nursing intervention would the nurse perform next?

Provide perineal care.

Which assessments would the nurse make for a client who has had an open reduction and internal fixation of a fractured hip? Select all that apply. One, some, or all responses may be correct.

Skin temperature, Sensation in the toes, Presence of pedal pulse

A client with osteoporosis is encouraged to drink milk. The client refuses the milk, explaining that it causes gas and bloating. Which calcium-rich food would the nurse suggest for clients who do not tolerate milk?

Yogurt

The nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. Which action would the nurse take in response to the client's comment?

eThe nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. Which action would the nurse take in response to the client's comment?

Which statements accurately describe the different medications available for the treatment of osteoporosis? Select all that apply. One, some, or all responses may be correct.

individuals with an allergy to salmon can't take calcitonin, Bisphosphonates inhibit osteoclast-mediated bone resorption, Denosumab is a subcutaneous injection given once every 6 months.

The nurse recommends that, when in bed, a client who has osteoarthritis should lie in the supine or prone position. The client states that these positions are uncomfortable for the knees and hips. Which action would the nurse take?

Encourage the client to maintain extension for specific periods of time

Which factors may have led to the development of flexion contractures in a client with osteoarthritis (OA)?

Using large pillows under the knees or head

Which part of the client's body would the nurse assess to identify osteoporotic changes?

Vertebral column

A nurse provides discharge instructions to a client who had surgery for a left total hip replacement. Which instruction would the nurse include about protecting the affected hip when in the sitting position?

When sitting in a firm armchair, the left foot should be flat on the floor's surface."

The nurse is caring for a client 4 hours after the client's hip replacement surgery. Which action would the nurse take when assisting the client out of bed?

Advise the client that the legs must be kept wide apart.

The plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vitamins. Which finding would indicate that the therapy is helping?

Mobility increases.

Which intervention would the nurse provide to an older adult client with a low body mass index (BMI) with osteoporosis?

Provide instructions relative to diet and exercise

Which estrogen antagonist would the health care provider prescribe a client for the prevention and treatment of osteoporosis in postmenopausal women?

Raloxifene

The nurse is caring for a client who is 1 day postoperative for a left hip fracture repair. Which clinical finding would the nurse assess further?

Sudden shortness of breath

A client who had a right total hip replacement is progressing from the use of a walker to the use of a cane. In which hand would the nurse teach the client to hold the cane?

left hand