The nurse is answering questions from participants after a presentation on preventing fractures at an assisted-living facility. Which resident is at highest risk for the development of fractures?
A) The resident who participates in resistance training exercises 3 times a week and takes a calcium supplement
B) The resident who hikes in the woods once a week and smokes 14 cigarettes per day
C) The resident who line dances twice a week and has a glass of wine with dinner
D) The resident who teaches yoga four times per week and is lactose-intolerant
Answer: B
Among older adult clients, smoking is the highest-risk behavior. Although exercise helps prevent fractures, hiking on an uneven surface can be a risk. Resistance training, line dancing, yoga, and a calcium supplement can decrease the risk of fracture with a fall. A glass of wine daily is not a risk factor for fracture from a fall. Lactose intolerance can lower calcium intake, although there are other sources of dietary or supplemental calcium.
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