CLINICAL ENCOUNTERS
OSTEOPOROSIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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An adult client who resides in a long-term care facility is diagnosed with osteoporosis. The client has a history of falls and dementia. Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client? Answer:B Explanation:A) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. In a long-term care facility, a nightlight should be provided in the room so the client can see to use the restroom.6 / 14
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Using furniture as obstacles to keep the client in the bed
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Keeping the bed in the lowest position
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Keeping a nightlight on in the hallway
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The use of wrist restraints
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Explanation:
Detailed explanation-1: -Nursing Diagnosis Based on the assessment data, the major nursing diagnoses for a patient who has osteoporosis may include: Deficient knowledge about the osteoporotic process and treatment regimen. Acute pain related to fracture and muscle spasm.
Detailed explanation-2: -Diet, vitamin D and weight-bearing exercise can help to prevent osteoporosis.
Detailed explanation-3: -Bone fractures, particularly in the spine or hip, are the most serious complications of osteoporosis. Hip fractures often are caused by a fall and can result in disability and even an increased risk of death within the first year after the injury.
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