The nurse knows that which of the following clients is most at risk for a bone fracture:
1. 44-year-old female with rheumatoid arthritis
2. 64-year-old male with Cushing's disease
3. 53-year-old female with chronic alterations in renal function
4. 60-year-old male with cirrhosis of the liver
ANS: 2
The kidneys affect calcium and phosphate regulation by producing a substance that converts vitamin D into its active form. Clients with chronic alterations in kidney function do not make sufficient amounts of the active vitamin D. They are prone to develop renal bone disease result-ing from the demineralization of bone caused by impaired calcium absorption.
You might also like to view...
A 22-year-old male is in the ICU with sepsis. The physicians are trying to rule out acute DIC. The nurse performs a primary assessment of the patient at the beginning of shift
Which of the following items would be part of the initial assessment for this patient? Select all that apply. A) Check for signs of bleeding in the gums and/or mouth. B) Check pupils for reaction. C) Check IV sites or any areas where the patient may have had labs drawn for bleeding. D) Check for altered level of consciousness.
A community health nurse is assigned to cover a school health office when the school's nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find
in the school health office? (Select all that apply.) a. A nursing policy book with standing orders and nursing protocols b. Medications clearly labeled with student name, as well as typical medication information (e.g., name, dose) c. Approval from the student's teacher for the student to see the nurse for the medication each day d. The student's written assent for the medication to be administered when requested e. Written request from a health care provider for that student to receive that medication f. Written request from the student's parents for the specific medication to be administered
Which of the following results from the adaptation of the fetus to the size and shape of the pelvis?
a. Lightening b. Lie c. Molding d. Presentation
C.W. has been on nothing by mouth (NPO) status since the surgery. The attending physician orders totalparenteral nutrition (TPN) at a rate of 50 mL/hr
What is the purpose of these orders?