An 82-year-old client walked 2 miles last week to enjoy the ...

[Mr3Hunna]

An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that time, I haven't been doing very much, I'm afraid it will hurt. Which action by the nurse is most appropriate?
 
  A) Discuss moderation in activity, encouraging continued movement.
  B) Obtain a cane for use to improve balance, and reduce the client's fears.
  C) Encourage the client to walk the 2 miles every day.
  D) Have the client take ibuprofen (Motrin IB) every morning.

Question 2

A 70-year-old woman has expressed interest in preventing osteoporosis as a result of the high prevalence of the disease in her peer group. What dietary measures should the nurse recommend?
 
  A) High intake of salmon and fortified cereals
  B) A high-protein, low-carbohydrate diet
  C) High intake of organic fruits and vegetables
  D) Vitamin C supplements and a high-potassium diet

[Fayaz00962]

Answer to Question 1

Ans: A
Practices that are recommended for self-care of osteoarthritis include using moist heat and analgesics for pain, regular low impact exercise, and balancing weight-bearing activities with rest periods. Walking 2 miles is too far for this client (as evidenced by the severe pain after walking that distance previously). The client does not currently have any balance issues; thus, a cane would not reduce the fear of pain.

Answer to Question 2

Ans: A
Nurses can also teach older adults and their caregivers about the importance of adequate intake of calcium and vitamin D in the prevention of osteoporosis. Salmon, fortified cereals, and orange juice are sources of both. Measures such as high-protein intake, low-carbohydrate consumption, vitamin C supplements, and a high-potassium diet do not address the risk factors for osteoporosis. A diet high in fruits and vegetables is beneficial, but this will not have as direct an effect as vitamin D and calcium intake.

[Mr3Hunna]

TYSM

[scottmt]

Gracias!