An osteoporosis-related fall necessitated hip replacement surgery ...

[karen]

An osteoporosis-related fall necessitated hip replacement surgery for an older female adult who is entering a rehabilitation facility. Which is the nurse's priority goal during this woman's rehabilitation?
 
  a. Eat whole grains, fruits, and vegetables.
  b. Recapture preoperative mobility status.
  c. Keep the surgical wound clean and dry.
  d. Tell her to take two steps into the walker.

Question 2

Which health belief system uses treatments to repair a body part?
 
  a. Holistic c. Personalistic
  b. Biomedical d. Magicoreligious

[paavo]

Answer to Question 1

B

Feedback
A Incorrect. Increasing dietary fiber and nutrient-dense foods is an intervention to help to maintain regular bowel habits and repair and build tissue; it is integral to postoperative and rehabilitative care for an older adult but not the highest prior-ity.
B Correct. Only 40 of people who have an osteoporosis-related fracture recupe-rate their pre-fall mobility status, so the most important goal for the nurse is to plan care designed to restore her baseline mobility status. This is a comprehen-sive goal encompassing nutrition, exercise, rest, and physical therapy and pre-venting postoperative complications that can plague older adults such as atelec-tasis and pneumonia, impaired skin integrity, constipation, and dehydration.
C Incorrect. Preventing infection and promoting skin integrity are integral to postoperative and rehabilitative care for an older adult.
D Incorrect. Instructing the older adult about using a walker properly is an inter-vention and part of the primary goal of restoring preoperative mobility.

Answer to Question 2

B
Because dysfunction or a structural abnormality is thought to cause disease, the biomedical sys-tem believes in repairing the structural abnormality. The holistic system holds that health is at-tained through balance. The personalistic system uses treatments such as meditation, fasting, and praying. The magicoreligious system is the same as the personalistic system.