Author Question: After living with osteoporosis for 2 years, the older female adult's bone density scan shows no ... (Read 51 times)

Collmarie · **on:** Jul 11, 2018

After living with osteoporosis for 2 years, the older female adult's bone density scan shows no improvement despite consistent bisphosphonate therapy. Which intervention should the nurse implement to reduce bone loss for this older adult?

a. Add tai chi or yoga exercises.
b. Instruct her to drink fortified milk.
c. Increase weight-bearing exercise.
d. Review her daily nutritional habits.

Question 2

The health care provider discusses the need for surgery with an elder and her family. Which information about the elder's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent?

a. Attitudes about caregiving
b. Process of decision making
c. Rituals for death and dying
d. Experience with discomfort

aprice35067 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D

Feedback
A Incorrect. These forms of exercise can help to increase bone density.
B Incorrect. Drinking fortified milk can help to increase bone density.
C Incorrect. Increasing weight-bearing exercise can help to increase bone density.
D Correct. Reviewing the older adult's nutritional habits can reveal clues about potential dietary contributors to bone loss from excessive sodium, alcohol, caffeine, or carbonated beverage intake. In addition, the nurse also confirms that the patient avoids smoking and a sedentary lifestyle that contribute to bone loss.

Answer to Question 2

B

Feedback
A Incorrect. Caregiving is unrelated to the process of informed consent.
B Correct. The nurse uses knowledge of the culture's influence on the elder in re-lation to decision making to avoid unnecessary tension and misunderstanding and thus to facilitate the process of informed consent. The nurse uses the infor-mation about decision making by sharing the cultural information with the healthcare provider and by addressing the culturally suitable member of the family for informed consent.
C Incorrect. Death and dying, although potentially relevant, is unrelated to in-formed consent.
D Incorrect. Relevant to surgical procedures, elder and family experiences with pain and discomfort are important to the pain management plan.