An older patient is talking with the nurse about hip fractures. ...

[Arii_bell]

An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?
 
  a. Walk at least 5 miles every day for exercise.
  b. Wear proper fitting shoes to prevent tripping.
  c. Talk with your physician about a calcium supplement.
  d. Stand up slowly so you don't feel faint.

Question 2

The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse knows the unlicensed assistive personnel understands the concept of mobility and proper moving techniques when making which statement?
 
  a. Patients must have a trapeze over the bed to move properly.
  b. Patients should move themselves in bed to prevent immobility.
  c. Patients should always have a two-person assist to move in bed.
  d. Patients must be moved correctly in bed to prevent shearing.

[ciecieme]

Answer to Question 1

ANS: C
Calcium strengthens the bones. A calcium supplement will help strengthen bones as they may be affected by aging, illness, or trauma. Walking several miles will help strengthen the bones, but the patient should consult with the healthcare provider before any exercise regimen is implemented for the older adult. Wearing proper shoes and standing slowly to prevent dizziness is important but they will not prevent fractures.

Answer to Question 2

ANS: D
Patients must be moved properly in bed to prevent shearing of the skin. Having a trapeze over the bed is only functional if the patient can assist in the moving process. A two-person assist is good, but the patient still needs to be moved properly. A patient may move himself or herself if he or she is able; but shearing may still occur.