Author Question: The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most ... (Read 37 times)

itsmyluck · **on:** Jul 23, 2018

The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most applicable for this client?

1. Institute an exercise plan that includes weight-bearing activities.
2. Increase the amount of calcium in the client's diet.
3. Protect the client's bones with strict bed rest.
4. Provide the client with assisted range-of-motion exercising twice daily.

Question 2

During a prenatal visit, the nurse is instructing a newly pregnant client in regard to exercise. What advice is best for the nurse to give this client?

1. Pregnant clients can exercise if exercise was a part of their life prior to pregnancy.
2. Due to the stress of a growing fetus, exercise should be limited to no more than 10 minutes per day.
3. Healthy pregnant women should exercise at least 30 minutes on most if not all days.
4. The pregnant woman's exercise should actually increase above normal recommended levels to prevent water weight gain.

meltdown117 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Osteoporosis is a demineralization of the bone in which calcium leaves the bone matrix. One causative factor is lack of weight-bearing activity. Weight bearing helps to move calcium back into the bones, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight-bearing activities.
Rationale 2: Additional calcium in the diet after osteoporosis has begun is not thought to be effective.
Rationale 3: Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity.
Rationale 4: Assisted range-of-motion exercises are not weight-bearing activities and do not help delay or reverse osteoporosis.

Answer to Question 2

Correct Answer: 3
Rationale 1: Pregnant clients should be encouraged to exercise, regardless if exercise was a part of life prior to being pregnant.
Rationale 2: Exercise should be done 30 minutes on most days.
Rationale 3: The current recommendation of the American College of Obstetricians and Gynecologists is for healthy pregnant women to get as much exercise as the general population (30 minutes on most if not all days). This is a change from the previous recommendation that pregnant women can exercise.
Rationale 4: There is no indication that the pregnant woman needs more exercise than the general population.