Author Question: A public health nurse is conducting a health promotion teaching session at a seniors' drop-in ... (Read 177 times)

sammy · **on:** Jun 25, 2018

A public health nurse is conducting a health promotion teaching session at a seniors' drop-in center. Which of the following teaching points about hip fractures in older adults is most justified?

A)
Current treatment options for hip fractures in older adults mean that surgery is no longer a common necessity.
B)
Because of their generally higher body mass, men are particularly susceptible to breaking a hip in a fall.
C)
Most hip fractures are actually a break at the very top of the thigh bone.
D)
Because bone density is largely determined by your genes, there's little you can do to prevent hip fractures other than avoiding falls.

Question 2

The nurse knows that which of the following patients listed below is at high risk for developing a hip fracture?

A)
A 77-year-old male who runs marathons and maintains a BMI of 25.
B)
An 82-year-old female with macular degeneration and uses a walker to go to the bathroom.
C)
A 64-year-old male with uncontrolled diabetes and chronic kidney disease on dialysis.
D)
A 73-year-old nursing home patient with long-term continence issues but able to walk the hallways for exercise.

ecox1012 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

Fractures to the femoral head are the most common etiology of hip fractures in the older adult. Surgery is commonly required, and incidence is higher in women than in men. There are numerous risk factors for hip fracture beyond genetic factors, many of which are modifiable.

Answer to Question 2

Ans:
B

Feedback:

Hip fracture is a major public health problem in the Western world. The incidence of hip fractures increases with age. The incidence is also higher in white women compared with nonwhite women. Risk factors for hip fracture include low BMI, tall body structure, use of benzodiazepines, lack of exercise, previous injury to lower body extremity, vision problems, and confusion.