The nurse is caring for a client with a new diagnosis of osteoporosis. Which intervention should the nurse include in the care plan?
Encourage weight-bearing exercises
Restrict calcium-rich foods
Limit vitamin D supplementation
Promote bed rest to prevent fractures
The Correct Answer is A
Choice A reason: Weight-bearing exercises, like walking, stimulate bone formation by increasing osteoblast activity, improving bone density in osteoporosis. This reduces fracture risk, making it a key intervention to strengthen bones and enhance balance, preventing falls, which is critical for osteoporosis management.
Choice B reason: Restricting calcium-rich foods is inappropriate, as calcium is essential for bone health in osteoporosis. Dietary calcium supports bone mineralization, reducing fracture risk. Weight-bearing exercises are prioritized, as they directly enhance bone strength, unlike dietary restrictions that weaken bones.
Choice C reason: Limiting vitamin D supplementation is incorrect, as vitamin D enhances calcium absorption, supporting bone health in osteoporosis. Weight-bearing exercises are the priority, as they mechanically stimulate bone remodeling, improving density and reducing fracture risk more directly than supplements.
Choice D reason: Promoting bed rest increases bone loss in osteoporosis by reducing mechanical stress, which stimulates bone formation. Weight-bearing exercises are essential, as they enhance bone density and strength, preventing fractures, making bed rest counterproductive to osteoporosis management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Early ambulation prevents stasis but is contraindicated in acute deep vein thrombosis, as it risks dislodging the clot, causing pulmonary embolism. Leg elevation reduces swelling and promotes venous return, making it the priority intervention to manage acute DVT safely.
Choice B reason: Warm compresses may increase blood flow but are not standard for deep vein thrombosis, as they risk clot dislodgement. Leg elevation reduces edema and venous pressure, improving circulation without mobilizing the clot, making it the preferred intervention for DVT management.
Choice C reason: Restricting fluid intake is inappropriate, as hydration prevents blood viscosity increases that exacerbate deep vein thrombosis. Leg elevation directly reduces swelling and promotes venous return, addressing the primary issue of venous stasis, making it the priority over fluid restriction.
Choice D reason: Elevating the affected leg reduces edema and venous pressure in deep vein thrombosis by promoting venous return to the heart. This decreases clot propagation risk and alleviates pain, making it a key intervention to manage acute DVT effectively and prevent complications.
Correct Answer is A
Explanation
Choice A reason: Assisting with mobility and safety is critical in multiple sclerosis, as muscle weakness and spasticity increase fall risk. Physical therapy and assistive devices enhance safety, reducing injury risk, making it the priority intervention to maintain independence and prevent complications like fractures.
Choice B reason: A high-sodium diet is inappropriate, as it may exacerbate fluid retention, unrelated to multiple sclerosis. Mobility assistance is the priority, as falls are a significant risk due to neurological deficits, making dietary sodium irrelevant to primary symptom management.
Choice C reason: Restricting physical therapy worsens mobility and spasticity in multiple sclerosis. Assisting with mobility and safety is critical, as it prevents falls and maintains function, making therapy restriction counterproductive, as exercise supports neurological health and independence.
Choice D reason: Promoting bed rest increases muscle atrophy and spasticity in multiple sclerosis. Mobility and safety measures are essential, as they reduce fall risk and maintain function, making bed rest detrimental to managing neurological symptoms and overall patient well-being.
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