A nurse is assessing a client who has impaired mobility.
The nurse should monitor the client for a pressure injury due to which of the following factors?

Choice A rationale:

The CDC and other health organizations recommend at least 150 minutes of moderate-intensity aerobic exercise per week for overall health, which includes benefits for bone health. Weight-bearing exercises are particularly important for preventing osteoporosis.

Choice B rationale:

Performing vigorous exercise at least 2 times per week is generally recommended for maintaining cardiovascular health and overall fitness. However, for a client at risk for osteoporosis, the primary focus should be on calcium and vitamin D intake to support bone health and density. Vigorous exercise alone may not provide the necessary nutrients for bone health.

Choice C rationale:

Taking 400 IU of vitamin D supplement each day is a reasonable recommendation to support bone health, as vitamin D is essential for calcium absorption. However, the primary concern for a client at risk for osteoporosis is calcium intake. While vitamin D is important, calcium supplementation is more critical for addressing this specific issue.

Choice D rationale:

The RDA for calcium is generally 1,000 mg for adults up to age 50 and 1,200 mg for women over 50 and men over 70. For someone at risk of osteoporosis, ensuring adequate calcium intake is essential for bone health.

Choice A rationale:

Role performance. Role performance is a self-concept stressor that occurs when individuals struggle to meet their responsibilities and expectations in various roles, such as work, family, or social roles. In this scenario, the client is feeling stressed due to the demands of work and caring for an ill family member, indicating a struggle with their roles and responsibilities.

Choice B rationale:

Body image. Body image relates to how individuals perceive and feel about their physical appearance. It is not the primary self-concept stressor described in this situation. While stressors related to body image can cause psychological distress, the client's stress is primarily linked to their roles and responsibilities.

Choice C rationale:

Self-esteem. Self-esteem refers to an individual's overall self-worth and self-evaluation. While it can contribute to stress in various situations, the client's stress in this case is more directly related to their role performance and responsibilities.

Choice D rationale:

Identity. Identity concerns are related to an individual's sense of self and how they define themselves in terms of their values, beliefs, and personal characteristics. While identity can be a source of stress in some cases, the client's reported stress is primarily due to their inability to manage their roles effectively.