The major goal of nursing care for an older person with ...

[formula1]

The major goal of nursing care for an older person with osteoporosis is
 
  a. Prevention of further bone demineralization
  b. Prevention of injuries, especially related to falls
  c. Limitation of activities
  d. Changing of dietary practices

Question 2

Decreased renal excretion of drugs
 
  a. Does not affect drug effect
  b. Decreases the effect of drugs
  c. Is not a concern for older adults
  d. Potentially increases the effect of the drug

[tjayeee]

Answer to Question 1

B
Promoting safety to reduce the risk of falls is a major nursing intervention to prevent injuries. Response A, prevention of further bone demineralization, is attempted, but an older person who has osteoporosis has already sustained a significant loss of bone mass to place him or her at risk for fractures related to falls. Responses C and D are inappropriate because they are not specific to the needs of an older adult with osteoporosis.

Answer to Question 2

D
If the ability of the kidney to excrete drugs is decreased, drugs remain in the bloodstream for a longer time in a higher concentration. This situation has the potential to increase the length of the drug's effect and lead to adverse side effects. Responses A, B, and C are incorrect. Altered kidney function with aging is one of the main reasons that older adults require less medication to achieve the desired drug effect.