The nurse is educating a patient with osteoporosis about fall prevention strategies at home and in the hospital. Which statement by the patient indicates a correct understanding of the teaching?

“I will wear non-slip socks while in the hospital to reduce my risk of falling."

“I will place small rugs throughout my house to prevent slipping."

"At home, I should not wear my glasses nearby to avoid missteps."

“I don't need to do weight-bearing exercises because they won't help my bones."

Answer and Explanation

The Correct Answer is A

A. "I will wear non-slip socks while in the hospital to reduce my risk of falling." Wearing non-slip socks provides better traction and reduces the risk of slipping, which is especially important for patients with osteoporosis who are at higher risk for fractures.

B. "I will place small rugs throughout my house to prevent slipping." Small rugs can be a tripping hazard and increase the risk of falls. Patients should be advised to remove loose rugs or secure them with non-slip backing.

C. "At home, I should not wear my glasses nearby to avoid missteps." Patients should always wear their prescribed glasses to ensure clear vision and reduce the risk of tripping over obstacles. Poor vision can contribute to falls.

D. "I don't need to do weight-bearing exercises because they won't help my bones." Weight-bearing exercises, such as walking and resistance training, help maintain bone density and reduce the risk of osteoporosis-related fractures.

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Correct Answer is C

Explanation

A. Increased oral temperature from 36.6° C (97.8° F) to 37° C (98.6° F). A slight temperature increase is expected post-injury due to normal inflammatory response and does not indicate a serious complication.

B. Increased heart rate from 68 to 72/min. This small increase in heart rate is not clinically significant and does not indicate a serious complication.

C. Increased respiratory rate from 18 to 44/min. A sudden increase in respiratory rate could indicate a fat embolism, a life-threatening complication associated with long bone fractures. Fat emboli can travel to the lungs, causing respiratory distress. Immediate intervention is required.

D. Increased blood pressure from 112/68 to 120/72 mm Hg. This small increase in blood pressure is not alarming and does not indicate a serious complication.

A. Full-Thickness (Third-Degree) B. Superficial (First-Degree) C. Deep Full-Thickness (Fourth-Degree) D. Partial-Thickness (Second-Degree)

Correct Answer is A

Explanation

A. Full-Thickness (Third-Degree). A third-degree (full-thickness) burn destroys both the epidermis and dermis, leaving the skin dry, white, or charred. Due to nerve damage, the patient does not experience pain in the affected area.

B. Superficial (First-Degree). A first-degree burn affects only the epidermis and presents with redness, mild swelling, and pain. The skin remains intact, unlike the description provided.

C. Deep Full-Thickness (Fourth-Degree). A fourth-degree burn extends beyond the skin into muscle, bone, or fat. The description does not indicate such deep involvement.

D. Partial-Thickness (Second-Degree). A second-degree burn involves the epidermis and part of the dermis, causing blistering, redness, and pain. This is not consistent with the described dry, white, and painless presentation.

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The nurse is educating a patient with osteoporosis about fall prevention strategies at home and in the hospital. Which statement by the patient indicates a correct understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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