The RN has assigned a client with severe osteoporosis to an LPN. Which information about the care of the client is most important for the RN to provide the LPN?

a. Provide passive range of motion (ROM) to all weight-bearing joints.
b. Position the client upright to promote lung expansion.
c. Place a pillow between the client's knees when in the side-lying position.
d. Use a lift sheet to reposition the client.


D
Severe osteoporosis causes such bone density loss that pathologic fractures can easily occur when lifting or pulling a client. Use of a lift sheet when positioning reduces this risk. Passive range of motion prevents contractures, but active weight-bearing exercise reduces bone resorption and is a better choice if possible. Positioning the client to promote lung expansion and positioning with a pillow for side-lying are important interventions for any client. The most important intervention for this client is to prevent bone fractures.

Nursing

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