why is a client with osteoporosis prone to fractures

ATI RN

Multi Dimensional Care | Final Exam

1. Why is a client with osteoporosis prone to fractures?

A. The client has bone spurs that lead to fractures
B. The client has increased bone density
C. The client has porous bones
D. The client is not prone to fractures

Correct answer: C

Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.

2. The client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

A. Remove the nursing diagnosis in the plan of care since it has not occurred
B. Change the nursing diagnosis in plan of care to impaired mobility
C. Modify the nursing diagnosis in plan of care to impaired skin integrity
D. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present

Correct answer: D

Rationale:

3. The nurse is providing education to a client regarding the administration of eye drops. Which of the following actions indicates the need for further client education?

A. The client instills the prescribed number of eye drops into the conjunctival sac
B. The client sets the cap to the eye drop container down in a manner that does not contaminate it
C. The client touches the administration dropper her to the eye
D. The client washes her hands before instilling the eye drops

Correct answer: C

Rationale:

4. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?

A. Assist the client to orthopneic position
B. Offer a protein-rich diet
C. Offer the client a bedpan for toileting
D. Turn the client every 4 hours

Correct answer: A

Rationale: Assisting the client to the orthopneic position is the best nursing intervention to help prevent atelectasis. This position improves lung expansion by allowing the chest to expand fully, aiding in the prevention of atelectasis. Offering a protein-rich diet (choice B) is important for overall nutrition but does not directly address preventing atelectasis. Offering a bedpan for toileting (choice C) and turning the client every 4 hours (choice D) are important for preventing pressure ulcers in immobile clients but do not directly prevent atelectasis.