The older adult has osteoarthritis in the cervical spine and wants to receive injections of corticosteroids into the back for pain relief
To prevent complications of the therapy, which of the following should the nurse instruct the patient to avoid? a. Ambulation
b. Hypocalcemia
c. Supine position
d. Pain medication
B
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A Incorrect. Ambulation is an indicated form of exercise for older adults with back pain.
B Correct. This therapy involves large doses of corticosteroids; so, the nurse in-structs the patient to maintain an adequate calcium intake because bone loss is an adverse effect of corticosteroid medication. Developing osteoporosis has the potential to devastate the spine of this individual, contribute to compression fractures, and aggravate back pain that is already significant.
C Incorrect. Supine positioning is indicated for older adults with back pain if this position provides relief.
D Incorrect. Older adults who have back pain treated with corticosteroid therapy usually need to supplement this treatment with analgesia and muscle relaxants.
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The nurse is assessing the patient's sexual functioning. With cultural patterns in mind, which patient will the nurse expect most likely to be uncomfortable discussing this topic?
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The client is able to ambulate without signs or symptoms of shortness of breath. Which statement by the nurse is the best example of an objective evaluation of the client's goal attainment?
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