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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Transportation can be a critical factor in nutritional insufficiency in older adults.
Explanation: Limited access to transportation can be a barrier for older adults in obtaining nutritious food. This can lead to challenges in grocery shopping and accessing fresh, healthy food options. Lack of transportation may contribute to nutritional insufficiency in older individuals.
B. Soul food is a concern primarily for the African-American culture.
Explanation: This statement is not accurate. Dietary concerns and considerations, including those related to health, are not exclusive to any particular culture. Soul food, like any cuisine, can be enjoyed in moderation, but it's important to focus on a balanced and nutritious diet.
C. No government programs promote congregate dining among older adults.
Explanation: This statement is not true. There are government programs, such as the Older Americans Act Nutrition Program, that support congregate dining among older adults. These programs aim to provide nutritious meals to older individuals and foster social interactions by offering group dining opportunities.
D. The older person should be encouraged to practice strict controls on cholesterol intake to ensure protection against heart disease.
Explanation: While monitoring cholesterol intake is important for heart health, the term "strict controls" might not be universally applicable. Recommendations for cholesterol intake can vary based on an individual's overall health status, medical history, and specific dietary needs. It's advisable to consult with a healthcare professional for personalized advice on cholesterol management for older adults.
Correct Answer is B
Explanation
A. Encouraging the client to use a cane when ambulating is a positive preventive measure, promoting stability and support during walking.
B. Keeping the side rails up on the client's bed at night can be concerning.
While it might seem like a safety measure, using side rails can lead to entrapment or falls, especially for frail older adults. Side rails can create a false sense of security, and if the client tries to climb over them or gets caught between the rails, it can result in injury.
C. Keeping several low wattage night lights on in the evening is a good preventive measure, as it helps improve visibility and reduces the risk of falls during nighttime activities.
D. Installing wooden railings on the stairway to the bathroom is a positive preventive measure, enhancing stability and support during stair navigation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.