A group of older adults in an assisted living facility are talking about one of the residents who fell and fractured her hip. The residents ask a nurse the following: "It seems like so many of us fall and break our hips, and then it is downhill from there. Is this really true?" in formulating a response, the nurse considers which of the following? (Select all that apply.)

Women have significantly higher mortality rates from hip fractures than do men

Hip fractures are associated with very high morbidity and mortality.

Hip fractures are a leading cause of hospitalization for older people

Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year.

The major cause of hip fractures is falls

Answer and Explanation

Correct Answer : A,B,C,E

A. Women have significantly higher mortality rates from hip fractures than do men.
Explanation: This statement is generally true. Women, particularly older women, tend to have higher mortality rates associated with hip fractures compared to men. This is partly because women are more prone to osteoporosis, a condition that increases the risk of fractures.

B. Hip fractures are associated with very high morbidity and mortality.
Explanation: This statement is generally true. Hip fractures can have significant consequences, including increased morbidity and mortality. Complications, such as infections, immobility-related issues, and other medical conditions, can contribute to the overall impact on health.

C. Hip fractures are a leading cause of hospitalization for older people.
Explanation: This statement is generally true. Hip fractures are a common reason for hospitalization among older adults. The severity of the injury often requires medical intervention, surgery, and rehabilitation.

D. Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year.
Explanation: This statement is not accurate. While many older patients can regain some mobility with appropriate rehabilitation, not all will regain their prefracture mobility status. The extent of recovery varies among individuals and depends on factors such as overall health, comorbidities, and the severity of the fracture.

E. The major cause of hip fractures is falls.
Explanation: This statement is accurate. Falls are a major cause of hip fractures in older adults. Understanding and addressing factors contributing to falls are essential in preventing hip fractures.

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Correct Answer is C

Explanation

A. Keeps room temperature at 72°F.

Explanation: Maintaining a room temperature of 72°F is generally considered comfortable and is not likely to contribute to hyperthermia, especially when compared to higher temperatures. However, it's essential to consider individual preferences and comfort levels.

B. Has a history of osteoarthritis.

Explanation: Osteoarthritis itself is not directly associated with an increased risk of hyperthermia. However, limitations in mobility or difficulties with self-care due to osteoarthritis might indirectly impact the ability to stay cool and hydrated, so comprehensive care should consider the overall health status of the individual.

C. Takes furosemide 40 mg daily.

Explanation: Furosemide is a diuretic that increases urine production, leading to fluid loss. Dehydration or electrolyte imbalances resulting from diuretic use can contribute to an increased risk of hyperthermia, especially in hot weather. It's important for healthcare providers to monitor and manage medications, considering their potential effects on fluid balance and thermoregulation.

D. Bathes daily with a hot shower.

Explanation: While taking hot showers may contribute to temporary elevation of body temperature, bathing alone may not be a significant contributor to hyperthermia. However, if an older adult has difficulty tolerating heat or maintaining hydration, it's essential to consider the cumulative impact of various factors.

A. Tell her to use an assistive device until her balance improves. B. Provide information on group exercises for balance training. C. Instruct her to enroll in a general exercise program for 8 weeks. D. Help her to learn how to exercise the core group of muscles

Correct Answer is B

Explanation

A. While using an assistive device can be helpful, it's more of a compensatory measure and does not directly address the improvement of balance. It's important to focus on interventions that enhance balance rather than relying solely on external devices.

B. Providing information on group exercises for balance training is a suitable intervention.

Group exercises specifically targeting balance can offer a supportive and structured environment for the older adult.

Balance training in a group setting can provide social interaction, motivation, and a sense of community, which can contribute to adherence and engagement in the program.

C. Enrolling in a general exercise program for 8 weeks may not be as targeted or tailored to the specific needs of someone recovering from balance issues. Specific balance training exercises would likely be more beneficial.

D. Learning how to exercise the core group of muscles is important for overall strength and stability, but it may not be sufficient in addressing balance issues comprehensively. Balance-specific exercises should also be included.

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Naxlex Comprehensive Predictor Exams

Which patient assessment data does the nurse recognize could contribute to an older adult's risk of hyperthermia?

Correct Answer is C

Explanation

The nurse wants to suggest exercise program options for an older client who is recovering losing her balance and falling. Which nursing intervention is suitable for this older adult?

Correct Answer is B

Explanation

Which one of the following is connected with the nursing home reform mandated by a 1987 law?

What components are included in a person-centered community? (Select all that apply.)

In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?

Hypothermia is a medical emergency defined as a core temperature less than 95°F. Which of the following tips to prevent hypothermia should you tell your elderly client? (Select all that apply.)

When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?