A nurse is teaching a client who has osteoporosis about ways to reduce stress on the skeletal system. Which of the following instructions should the nurse include?

Begin a weight-bearing exercise program.

Avoid practicing yoga.

Continue jogging 1 to 2 miles per day.

Walk at least 60 min every day.

Answer and Explanation

The Correct Answer is A

A. Begin a weight-bearing exercise program: Activities like walking, dancing, and resistance training help maintain bone density by stimulating osteoblast activity. Regular weight-bearing exercise strengthens bones and reduces the risk of fractures.

B. Avoid practicing yoga: Yoga can actually be beneficial for individuals with osteoporosis by improving balance, flexibility, and posture. However, certain high-impact or extreme bending poses should be avoided.

C. Continue jogging 1 to 2 miles per day: High-impact activities such as jogging can increase the risk of fractures in individuals with osteoporosis. Lower-impact exercises like walking or strength training are safer alternatives.

D. Walk at least 60 min every day: While walking is a good low-impact exercise, excessive walking without resistance or strength training may not provide sufficient bone-strengthening benefits. A structured weight-bearing exercise program is more effective.

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Correct Answer is B

Explanation

A. Provide a diet of fresh fruits and vegetables for the client: While a high-protein, high-calorie diet is essential for wound healing in burn patients, fresh fruits and vegetables may not be appropriate if the client is immunocompromised due to the risk of bacterial contamination. Cooked or peeled produce is often recommended.

B. Apply new gloves when alternating between wound care sites: Burn wounds are highly susceptible to infection. Changing gloves between different wound sites prevents cross-contamination and reduces the risk of spreading bacteria, which is critical in preventing wound infections and sepsis.

C. Clean the equipment in the client's room once per week: Equipment in a burn unit should be cleaned and disinfected daily to minimize the risk of infection. Weekly cleaning is insufficient for infection control in an immunocompromised client.

D. Limit visitation time for the client's children to 40 min per day: While infection control is a priority, limiting visitation is not typically necessary unless the visitors are ill. Emotional support from family can aid in psychological recovery, and proper infection control measures can be implemented without strict visitation limits.

A. Hospice care services B. Long-term care facility C. Rehabilitation center D. Visiting nurse services

Correct Answer is D

Explanation

A. Hospice care services: Hospice care is designed for clients with terminal illnesses who require end-of-life care. Crohn’s disease and an ileostomy do not indicate a terminal condition, making hospice services inappropriate for this client.

B. Long-term care facility: Long-term care facilities are for clients who need continuous medical or personal care and are unable to live independently. Most clients with an ileostomy can manage their care at home with proper education and support, making this resource unnecessary.

C. Rehabilitation center: Rehabilitation centers are primarily for clients recovering from major injuries, strokes, or surgeries that impair mobility or function. While an ileostomy requires adjustment, it does not typically necessitate inpatient rehabilitation.

D. Visiting nurse services: Home health nurses provide essential support for clients with a new ileostomy by assisting with ostomy care, monitoring for complications, and reinforcing self-care education. This service helps facilitate a smoother transition to independent ostomy management.

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A nurse is teaching a client who has osteoporosis about ways to reduce stress on the skeletal system. Which of the following instructions should the nurse include?

Nursing Test Bank

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