An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?

a. "Walk at least 5 miles every day for exercise."
b. "Wear proper fitting shoes to prevent tripping."
c. "Talk with your physician about a calcium supplement."
d. "Stand up slowly so you don't feel faint."


ANS: C
Calcium strengthens the bones. A calcium supplement will help strengthen bones as they may be affected by aging, illness, or trauma. Walking several miles will help strengthen the bones, but the patient should consult with the healthcare provider before any exercise regimen is implemented for the older adult. Wearing proper shoes and standing slowly to prevent dizziness is important but they will not prevent fractures.

Nursing

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A child with myasthenia gravis is brought to the emergency department by his parents. The parents have noticed a sudden increase in respiratory difficulty. The nurse suspects myasthenic crisis based on which statement by the parents?

A) "We gave him an extra dose of his medication earlier today." B) "He was coughing and had a slight fever yesterday and today." C) "Things have been pretty stress-free lately." D) "He's been resting when he gets tired."

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Nurse B talks with Patient G about effective methods of managing stress incontinence. What role of the gerontological nurse is being enacted in this exchange?

A) Innovator B) Caregiver C) Educator D) Advocate

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A nurse practitioner documents as follows:

"Patient reports pain and tenderness over area of right ovary and a history of irregular menses." With which of the following diagnoses are these findings consistent? A) Ovarian cyst B) Salpingitis C) Pelvic inflammatory disease D) Ovarian cancer

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According to the NHS Constitution (Department of Health, 2013), the NHS belongs to the people, touching our lives at times of basic human need, when ______ is what matters most.

a. value for money b. meeting targets c. care and compassion d. compiling league tables

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