A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

Stretching exercises

High-impact aerobics

Riding a bicycle

Walking briskly

Answer and Explanation

The Correct Answer is D

A. Stretching exercises are beneficial for improving flexibility and range of motion. This however doesnt load bones to slow down osteoporosis.

B. High-impact aerobics can increase the risk of fractures in individuals with osteoporosis due to the stress on bones. It is not a recommended form of exercise.

C. Riding a bicycle is a low-impact exercise that can be beneficial for cardiovascular health, but it may not specifically address the needs of osteoporosis.

D. Walking briskly is a weight-bearing exercise that can help strengthen bones. It's a good recommendation for clients with osteoporosis.

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Correct Answer is B

Explanation

A: Placing the client in protective isolation is not necessary unless the client is immunocompromised or has another indication for isolation beyond the scoliosis repair.
B: A PCA (patient-controlled analgesia) pump allows the client to manage pain effectively by administering their own pain medication within prescribed limits, which is essential after the significant surgical intervention of scoliosis repair.
C: Keeping the head of the bed at a 30° angle is not specifically indicated for postoperative care following scoliosis repair with Harrington rod instrumentation. The position of the bed should be based on the client's comfort and specific postoperative orders.
D: Repositioning the client by log rolling every 4 hours is important to prevent complications such as pressure ulcers and to promote circulation, but it is not the priority intervention. Pain management postoperatively is crucial for client comfort, promoting mobility, and aiding in the recovery process.

A. Inability to move toes. B. Pallor of the toes. C. Change in temperature of the toes. D. Edema of the toes.

Correct Answer is B

Explanation

A. Inability to move toes may be a sign of tightness in the cast, but it is not the first finding to be expected if the cast is too tight.

B. Pallor of the toes indicates compromised blood flow and is the earliest sign of circulatory impairment due to tightness of the cast.

C. Change in temperature of the toes may be a sign of impaired circulation, but it is not the earliest finding to be expected.

D. Edema of the toes may occur as a result of compromised circulation, but it is not the first finding to be expected if the cast is too tight.

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A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

Correct Answer is B

Explanation

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A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?