The nurse is assessing an 82-year-old female. Which of the following would be considered the best preventative action by the patient regarding bone disease and fractures?
1. Daily intake of 1200 mg calcium with vitamin D
2. Limiting scatter rugs in path to the bathroom and bedroom
3. Daily walk to the mailbox at the end of a 10-foot long driveway
4. Limiting smoking to one cigarette each evening with a glass of wine
Daily intake of 1200 mg calcium with vitamin D
Rationale: Daily supplementation with calcium and vitamin D reduces the hip fracture rates among high-risk older people. The patient should be counseled to remove the scatter rugs from her home to reduce the risk of falling. The patient is probably not engaging in sufficient exercise each day to promote muscle and bone strength with a daily walk to the mailbox. Alcohol and smoking are risk factors for the development of osteoporosis.
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A 7-year-old boy has been diagnosed with juvenile idiopathic arthritis (JIA), and his parents are anxious to know how his health problem will affect his short-term and longer-term future
What can his health care provider most accurately tell the family? A) "Because JIA is an autoimmune disease, the long-term prognosis is quite poor and his mobility is likely to decline over time." B) "The earlier that we can schedule joint replacement surgeries, the better his prognosis will be." C) "With appropriate use of anti-inflammatory drugs along with lifestyle modifications, your son stands a good chance of leading a normal life." D) "We can relieve many of the symptoms or JIA and ensure his mobility, but there is a risk he'll develop a systemic immune response beyond his joints."
A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?
1. Paternalism 2. Nonmaleficence 3. Veracity 4. Respect for others
When is the preferred time to give ondansetron (Zofran) for a client receiving antineoplastic therapy?
A. Immediately following any antineoplastic therapy B. When the patient complains of nausea and before vomiting C. Never, ondansetron is not indicated for patients receiving antineoplastic therapy D. Prior to the antineoplastic therapy
A nurse is performing an abdominal assessment of a client with suspected cholecystitis. Which of the following findings does the nurse expect to note if cholecystitis is present?
A. Homan sign B. Murphy sign C. Blumberg sign D. McBurney sign