A visiting nurse is seeing an older woman with the nursing ...

[BrownTown3]

A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis. Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met
 
  (Select all that apply.)
  A.
  All scatter rugs have been removed.
  B.
  Burned-out light bulbs have been replaced.
  C.
  Hot water heater temperature is set to 110 F.
  D.
  Patient wears non-skid shoes or slippers.
  E.
  Pets have been given away to friends.

Question 2

The nurse working with older women knows that risk factors for osteoporosis include which of the following? (Select all that apply.)
 
  A.
  Asian ethnicity
  B.
  Excessive consumption of caffeine
  C.
  Large frame
  D.
  Regular physical activity
  E.
  Cigarette smoking

[duke02]

Answer to Question 1

ANS: A, B, D
A priority goal for this diagnosis is to make the home safe. Removing scatter rugs, having the home well lit, and wearing non-skid footwear are all indications that the home is safe. The temperature on the water heater is important to prevent injury, but is not related to osteoporosis. Giving away pets is not advised, as pets often contribute to emotional well-being. However, they can get underfoot, and the nurse needs to caution the patient about this risk.

Answer to Question 2

ANS: A, B, E
Risk factors for osteoporosis can be found in Box 4-9 and include Asian (and Caucasian) ethnicity, excessive caffeine or alcohol use, and smoking. A small frame, not a large one, is a risk factor due to decreased stress on the bones. Regular activity (particularly weight-bearing exercise) is a preventative factor.