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Author Question: The nurse knows that which of the following clients is most at risk for a bone fracture: 1. ... (Read 81 times)

ishan

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The nurse knows that which of the following clients is most at risk for a bone fracture:
 
  1. 44-year-old female with rheumatoid arthritis
  2. 64-year-old male with Cushing's disease
  3. 53-year-old female with chronic alterations in renal function
  4. 60-year-old male with cirrhosis of the liver

Question 2

The nurse is caring for a 23-year-old male client who is in the ICU with second and third degree burns over 40 percent of his body. One of the first symptoms that the client is having organ fail-ure is that the urine output is less than:
 
  1. 30 mL/hour
  2. 40 mL/hour
  3. 50 mL/hour
  4. 60 mL/hour



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bookworm410

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Answer to Question 1

ANS: 2
The kidneys affect calcium and phosphate regulation by producing a substance that converts vitamin D into its active form. Clients with chronic alterations in kidney function do not make sufficient amounts of the active vitamin D. They are prone to develop renal bone disease result-ing from the demineralization of bone caused by impaired calcium absorption.

Answer to Question 2

ANS: 1
An output of less than 30 mL/hr indicates possible renal alterations.





 

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An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

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