A nurse is developing a plan of care for an older adult client who has osteoporosis. Which of the following interventions to prevent falls should the nurse include in the plan?

Instruct the client to use the hallway grab bars when walking.

Assist the client to the bathroom every 4 hr.

Administer an antianxiety medication at bedtime.

Monitor the client's activity every 2 hr.

Answer and Explanation

The Correct Answer is A

A. Instruct the client to use the hallway grab bars when walking. This is correct. Using hallway grab bars provides support and stability, helping to prevent falls in clients with osteoporosis.
B. Assist the client to the bathroom every 4 hr. Assisting the client to the bathroom regularly is important, but every 4 hours might not be frequent enough and doesn't directly address fall prevention throughout all activities.
C. Administer an antianxiety medication at bedtime. Antianxiety medications can cause sedation and increase the risk of falls, especially in older adults.
D. Monitor the client's activity every 2 hr. Monitoring the client’s activity is important, but this does not provide specific fall prevention strategies or interventions.

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Correct Answer is D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. "Websites that sell health care products provide the most unbiased health information." B. "The most credible and efficient websites for locating scholarly health information end in .com." C. "Dependable websites containing health information keep their commercial sponsors anonymous." D. "My provider is responsible for showing me how to evaluate health information on the Internet."

Correct Answer is D

Explanation

A. "Websites that sell health care products provide the most unbiased health information." Websites that sell products may have a conflict of interest and may not provide the most unbiased information.
B. "The most credible and efficient websites for locating scholarly health information end in .com." Credible health information is more commonly found on websites ending in .gov, .edu, or .org, rather than .com.
C. "Dependable websites containing health information keep their commercial sponsors anonymous." Transparency about commercial sponsors is important for credibility; anonymous sponsorships may indicate a lack of transparency.
D. "My provider is responsible for showing me how to evaluate health information on the Internet." This is correct. Providers can guide patients on evaluating the credibility and reliability of health information found online.

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A nurse is developing a plan of care for an older adult client who has osteoporosis. Which of the following interventions to prevent falls should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

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