An adult client who resides in a long-term care facility is ...

[imowrer]

An adult client who resides in a long-term care facility is diagnosed with osteoporosis. The client has a history of falls and dementia. Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client?
 
  A) Using furniture as obstacles to keep the client in the bed
  B) Keeping the bed in the lowest position
  C) Keeping a nightlight on in the room
  D) The use of wrist restraints

Question 2

The nurse is planning care for a client with osteoarthritis of the hip. Which intervention would be appropriate for this client?
 
  A) Provide moist heat packs to affected joint 3 times each day.
  B) Instruct on the importance of strict bed rest.
  C) Provide NSAIDs when pain is severe.
  D) Provide opioid pain medication as prescribed.

[jessicaduplan]

Answer to Question 1

Answer: B

Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. A nightlight is useful but is not the best means to prevent injury.

Answer to Question 2

Answer: A

Interventions appropriate for a client with osteoarthritis include NSAIDs, moist heat, active range-of-motion exercises, proper posture and body mechanics, and assistive devices to safely maintain independence with activities of daily living. Opioid medication is not typically prescribed for the treatment of osteoarthritis. NSAIDs are more effective if taken before the pain is severe. The client should be encouraged to be mobile, not on strict bed rest.