Author Question: After living with OA for 2 years, an older woman's bone density scan shows no improvement, despite ... (Read 101 times)

silviawilliams41 · **on:** Jul 11, 2018

After living with OA for 2 years, an older woman's bone density scan shows no improvement, despite consistent bisphosphonate therapy. Which intervention should the nurse implement to reduce bone loss for this older adult?

a. Add tai chi or yoga exercises.
b. Instruct her to drink fortified milk.
c. Increase weight-bearing exercises.
d. Review her daily nutritional habits.

Question 2

An older female patient is reading a large-print magazine and states that reading is difficult for her in the evening. Which intervention should the nurse implement?

a. Put a high-intensity lamp at the head of her bed.
b. Explain to her that the gray-yellow ring around her cornea, arcus senilis, is inter-fering with visual acuity.
c. Put more powerful tubes in the fluorescent room lights.
d. Examine her retinas for signs of damage.

nanny · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Reviewing the older adult's nutritional habits can reveal clues about potential dietary contributors to bone loss from excessive sodium, alcohol, caffeine, or carbonated beverage intake. In addition, the nurse also confirms that the patient avoids smoking and a sedentary lifestyle that contribute to bone loss. Tai chi or yoga, drinking fortified milk, and increasing weight-bearing exercises can all help increase bone density.

Answer to Question 2

A
The pupil becomes gradually smaller with age; therefore the eye requires three times as much light. A high-intensity light on the object of interest is more effective than increasing the overall room illumination. The arcus senilis does not affect vision. The patient is describing a gradual overall change, not the more localized or sudden effects of macular degeneration or retinal detachment.