Author Question: A 78-year-old inactive client diagnosed with acute renal failure is at risk for which of the ... (Read 27 times)

Mollykgkg · **on:** Jul 23, 2018

A 78-year-old inactive client diagnosed with acute renal failure is at risk for which of the fol-lowing skeletal maladies?

1. Rickets
2. Osteomyelitis
3. Pathological fractures of long bones
4. Compression fractures of the spinal column

Question 2

A staff member experienced a shoulder injury while assisting with a client transfer. The nurse manager's most therapeutic response to this situation is to:

1. Thoroughly review the accident report filed by the injured personnel to determine the factors that contributed to the injury
2. Have a nonpunitive meeting with all the involved staff to discuss correcting the factors that resulted in the injury
3. Require that mechanical lifts be used in the transfer of all clients incapable of as-sisting with the transfer
4. Implement new policies and procedures to correct the factors that resulted in the injury

allisonblackmore · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Immobility causes the release of calcium into the circulation, where normally the kidneys excrete the excess calcium. If the kidneys are unable to respond appropriately, hypercalcemia results. Pathological fractures occur if calcium reabsorption continues as the client remains on bed rest or continues to be immobile. Bed rest is not a direct causative factor for the other options.

Answer to Question 2

ANS: 2
An after-action review allows the health care team to apply knowledge about safe client mov-ing to the situation to identify safety factors contributing to the problem and make suggestions for the implementation of strategies to minimize risk to both client and staff.