The nurse notes that an elderly client has a history of osteoporosis. What safety measure should the nurse prioritize for this client?

Fall prevention

Pressure injury prevention

Cognitive impairment prevention

Functional decline prevention

Answer and Explanation

The Correct Answer is A

Choice A reason: Fall prevention is the most important safety measure for an elderly client with osteoporosis, as falls can result in fractures and other complications. The nurse should assess the client's risk factors for falls, such as impaired vision, balance, or mobility, and implement interventions to reduce them, such as providing adequate lighting, removing clutter, and using assistive devices.

Choice B reason: Pressure injury prevention is also important for an elderly client, but not as crucial as fall prevention for a client with osteoporosis. Pressure injuries are caused by prolonged pressure on the skin, especially over bony prominences. The nurse should reposition the client frequently, use pressure-relieving devices, and monitor the skin for signs of breakdown.

Choice C reason: Cognitive impairment prevention is not a specific safety measure for an elderly client with osteoporosis, although it may affect the client's ability to follow instructions and adhere to treatment. Cognitive impairment may be caused by various factors, such as dementia, delirium, or medication side effects. The nurse should assess the client's mental status, provide orientation and stimulation, and manage any underlying causes.

Choice D reason: Functional decline prevention is not a specific safety measure for an elderly client with osteoporosis, although it may affect the client's quality of life and independence. Functional decline may be caused by various factors, such as pain, weakness, or depression. The nurse should encourage the client to participate in physical and occupational therapy, promote self-care activities, and provide emotional support.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Nurses can accomplish more if they perform the easiest or fastest interventions is not a primary reason for prioritizing care. This statement implies that nurses should focus on the quantity rather than the quality of care. However, nurses should prioritize care based on the urgency and complexity of the patient's needs, not on the ease or speed of the interventions. Performing the easiest or fastest interventions may not address the most important or critical issues that the patient faces.

Choice B reason: Nurses should always perform interventions related to client preference early in the shift is not a primary reason for prioritizing care. This statement implies that nurses should base their care on the patient's wishes rather than the patient's condition. However, nurses should prioritize care based on the severity and acuity of the patient's problems, not on the patient's preference. Performing interventions related to client preference early in the shift may not be feasible or appropriate if the patient has more urgent or emergent needs that require immediate attention.

Choice C reason: Nurses need to plan how to accomplish all activities within one shift is not a primary reason for prioritizing care. This statement implies that nurses should focus on the completion rather than the quality of care. However, nurses should prioritize care based on the significance and impact of the patient's outcomes, not on the completion of the activities. Accomplishing all activities within one shift may not be possible or necessary if the patient's situation changes or if some activities can be delegated or postponed.

Choice D reason: Nurses have a limited amount of time to perform nursing interventions during a shift is a primary reason for prioritizing care. This statement acknowledges that nurses face time constraints and competing demands in their work environment. Therefore, nurses should prioritize care based on the best use of their time and resources to meet the patient's needs. Having a limited amount of time to perform nursing interventions during a shift requires nurses to make clinical judgments and decisions that optimize the patient's health and safety.

A. Use soap to clean the client's skin. B. Apply friction when drying the client's skin. C. Use hot water to clean the client's skin. D. Apply a barrier cream to the client's skin.

Correct Answer is D

Explanation

Choice A reason: Using soap to clean the client's skin is not a recommended action, as it can dry out and irritate the skin, increasing the risk of skin breakdown and infection.

Choice B reason: Applying friction when drying the client's skin is not a recommended action, as it can damage and abrade the skin, causing pain and inflammation.

Choice C reason: Using hot water to clean the client's skin is not a recommended action, as it can increase the blood flow and inflammation to the skin, as well as remove the natural oils that protect the skin.

Choice D reason: Applying a barrier cream to the client's skin is a recommended action, as it can moisturize and protect the skin from the effects of urine, such as acidity, bacteria, and enzymes.

View Question and Answer

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

The nurse notes that an elderly client has a history of osteoporosis. What safety measure should the nurse prioritize for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The RN is using clinical judgment to determine which patient she needs to see first. What is one primary reason for prioritizing care?

Correct Answer is D

Explanation

A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The RN is developing a teaching plan for a client with a wound. Which strategy should the RN use to promote learning?

Which of the following clients has a modifiable risk factor for osteoporosis?

The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon assessment, the nurse notes crackles, shortness of breath, and jugular vein distention. Based on this data, which complication of IV fluid therapy does the nurse anticipate?

A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?

A diabetic client states he feels depressed, is complaining of chest pain, and has an open wound. Which of these complaints would require an immediate focused assessment?

A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the client's situation?

A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?

A nurse is caring for a client who states, "I did not take my medication because my partner forgot to remind me." The nurse should identify that the client is demonstrating which of the following defense mechanisms?