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A community health nurse is teaching a group of older adults about risk factors for a hip fracture.
What statements indicate a correct understanding of these risk factors? Select all that apply.

“Men are more at risk for hip fractures than women.”.

“A history of osteoporosis is a risk factor.”.

“An increase in estrogen will weaken my bones.”.

“I am prone to a hip fracture if I’ve fallen in the past.”.

“I am more at risk as I get older.”.

Answer and Explanation

Correct Answer : B,D,E

Choice A is wrong because women are more at risk for hip fractures than men.

This is partly because women lose bone density faster than men do, especially after menopause.

Choice C is wrong because an increase in estrogen will not weaken the bones. In fact, estrogen helps protect the bones from osteoporosis, which is a leading cause of hip fracture.

Some other risk factors for hip fracture include:

Excessive alcohol and caffeine consumption
Lack of physical activity
Low body weight
Tall stature
Vision problems
Dementia
Medications that cause bone loss
Cigarette smoking
Institutional living, such as an assisted-care facility
Increased risk for falls, related to conditions such as weakness, disability, or unsteady gait

Normal ranges for bone density vary by age and sex, but generally, a T-score of -1.0 or above is considered normal, while a T-score of -2.5 or below is considered osteoporotic. A T-score between -1.0 and -2.5 is considered osteopenic, which means low bone mass.

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Correct Answer is D

Explanation

Insulin injection sites are rotated to prevent lipodystrophy, which is a condition where the fat tissue under the skin becomes lumpy or dented due to repeated injections.

Lipodystrophy can affect the absorption and effectiveness of insulin.

Choice A is wrong because bruising is not a common complication of insulin

injections. Bruising can occur if the needle hits a blood vessel, but this can be avoided by using a new needle each time and applying gentle pressure after the injection.

Choice B is wrong because infection is not a common complication of insulin

injections. Infection can occur if the skin is not cleaned properly before the injection or if the needle is contaminated, but this can be prevented by washing the hands and using alcohol swabs.

Choice C is wrong because bleeding is not a common complication of insulin

injections. Bleeding can occur if the needle hits a blood vessel, but this can be minimized by using a new needle each time and applying gentle pressure after the injection.

A. Apply them safely and secure to the bed rails. B. Use to protect elderly patients from pulling out tubes and lines as soon as you place them. C. Apply them to clients who have a history of violence or a previous fall for everyone’s protection. D. Use them only as a last resort after attempting alternatives and get an order to do so.

Correct Answer is D

Explanation

Use them only as a last resort after attempting alternatives and get an order to do so. This is because restraints are used to protect persons from harming themselves or others, but they can also cause injuries, falls, and death. Therefore, they should be used only when less restrictive measures fail to protect the person or others, and only with informed consent and a doctor’s order.

Choice A is wrong because restraints should not be secured to the bed rails, but to the movable part of the bed frame out of the person’s reach.

This prevents the person from getting entangled or injured by the restraints.

Choice B is wrong because restraints should not be used for staff convenience or to control or prevent a behavior. They should be used only for the immediate physical safety of the person or others.

Choice C is wrong because restraints should not be applied to clients who have a history of violence or a previous fall for everyone’s protection. They should be used only when there is a clear and present danger of harm to the person or others.

Normal ranges for restraints are:

Check the person at least every 15 minutes
Remove restraints and meet basic needs at least every 2 hours
Apply restraints so that they are snug but allow enough room to fit one finger between the restraint and the wrist

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A community health nurse is teaching a group of older adults about risk factors for a hip fracture. What statements indicate a correct understanding of these risk factors? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Insulin injection sites are rotated to prevent which complication to the tissues?

Correct Answer is D

Explanation

When using wrist restraints, which of these statements is correct?

Correct Answer is D

Explanation

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Which needle gauge should a nurse select when administering a medication subcutaneously?

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Which action should a nurse plan for a client who has episodes of acute anxiety?

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When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

A community health nurse is teaching a group of older adults about risk factors for a hip fracture.
What statements indicate a correct understanding of these risk factors? Select all that apply.