A client is in the internal medicine clinic reporting bone pain. ...

[pragya sharda]

A client is in the internal medicine clinic reporting bone pain. The client's alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate?
 
  a. Assess the client for leg bowing.
  b. Facilitate an oncology workup.
  c. Instruct the client on fluid restrictions.
  d. Teach the client about ibuprofen (Motrin).

Question 2

A client in a nursing home refuses to take medications. She is at high risk for osteomalacia. What action by the nurse is best?
 
  a. Ensure the client gets 15 minutes of sun exposure daily.
  b. Give the client daily vitamin D injections.
  c. Hide vitamin D supplements in favorite foods.
  d. Plan to serve foods naturally high in vitamin D.

[pallen55]

Answer to Question 1

ANS: A
This client has manifestations of Paget's disease. The nurse should assess for other manifestations such as bowing of the legs. Other care measures can be instituted once the client has a confirmed diagnosis.

Answer to Question 2

ANS: A
Sunlight is a good source of vitamin D, and the nursing staff can ensure some sun exposure each day. Vitamin D is not given by injection. Hiding the supplement in food is unethical. Very few foods are naturally high in vitamin D, but some are supplemented.

[pragya sharda]

Excellent

[sailorcrescent]

TYSM